Individual
ELIZABETH L KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2478 13TH ST SE, SALEM, OR 97302-2522
(503) 362-2481
(503) 371-7803
Mailing address
2478 13TH ST SE, SALEM, OR 97302-2522
(503) 362-2481
(503) 371-7803
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME91162
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270725000
—
FL
Enumeration date
07/07/2006
Last updated
08/30/2013
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