Individual
MS. ELIZABETH A. DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
913 NW GARDEN VALLEY BLVD, MHC (200), ROSEBURG, OR 97470-6523
(541) 440-1000
(541) 440-1365
Mailing address
755 NE NASH ST, ROSEBURG, OR 97470-3253
(541) 672-0669
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
00037680
OR
Other
Enumeration date
08/25/2006
Last updated
07/08/2007
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