Individual
ELISHA NICOLE FARNWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
750 MURPHY RD, MEDFORD, OR 97504-8426
(541) 930-3939
Mailing address
701 HOSPITAL LOOP, FLIGHT MEDICINE CLINIC, FAIRCHILD AFB, WA 99011-8704
(509) 664-6082
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
1192
NE
Other
Enumeration date
05/02/2012
Last updated
01/05/2024
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