Individual
MS. ELIZABETH MARY ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10100 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 571-3742
Mailing address
3824 NE 68TH AVE, PORTLAND, OR 97213-5119
(503) 571-3742
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
000028897N7
OR
363LW0102X
Women's Health Nurse Practitioner
AP30000672
WA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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