Individual
DR. REBECCA ELIZABETH ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1698 E MCANDREWS RD STE 350, MEDFORD, OR 97504-5590
(541) 732-7460
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(541) 732-7460
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
DO198405
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500778948
—
OR
Enumeration date
04/21/2015
Last updated
03/09/2021
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