Individual
ELIZABETH ROSE WHITESIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2945 TIMBERLINE DR, EUGENE, OR 97405-1233
(541) 954-5504
Mailing address
2945 TIMBERLINE DR, EUGENE, OR 97405-1233
(541) 954-5504
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/13/2017
Last updated
10/13/2017
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