Individual
ELISA ANN PEAVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
840 SW 4TH AVE STE 105, ONTARIO, OR 97914-2638
(541) 881-2800
(541) 881-2825
Mailing address
1441 NE 10TH AVE, PAYETTE, ID 83661-5420
(082) 642-9376
(208) 642-9279
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO161883
OR
207Q00000X
Family Medicine Physician
O1668
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500661968
—
OR
Enumeration date
05/05/2010
Last updated
01/14/2026
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