Individual
DR. ELINOR J TATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
850 SW 2TH STREET, CORVALLIS, OR 97331
(541) 737-9355
(541) 737-9665
Mailing address
850 SW 26TH ST, CORVALLIS, OR 97331-8624
(541) 737-9355
(541) 737-9655
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00033246
WA
207Q00000X
Family Medicine Physician
MD152758
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1095389
—
WA
Enumeration date
05/18/2006
Last updated
01/22/2024
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