Individual
ELIZABETH SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1650 SW 45TH PL, CORVALLIS, OR 97333-1768
(541) 757-8068
Mailing address
1650 SW 45TH PL, CORVALLIS, OR 97333-1768
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/19/2015
Last updated
06/19/2015
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