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Organization

P3 MEDICAL GROUP PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DOUGLAS ELIASON MD (PRESIDENT)
(971) 239-0001
Entity
Organization

Contact information

Practice address
966 12TH ST SE STE 110, SALEM, OR 97302-2860
(971) 239-0001
Mailing address
2370 CORPORATE CIR STE 300, HENDERSON, NV 89074-7760
(702) 910-3950
(702) 786-6650

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician
208D00000X
General Practice Physician
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
02/08/2021
Last updated
04/03/2026
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