Most Relevant Information
Provider Data
| NPI Number: | 1003439670 |
| Provider Name: | ELIZABETH ANNE VARLEY |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/18/2020 |
| Last Updated: | 07/19/2021 |
Provider Practice Location
675 N 5TH ST STE 200
LEBANON
OR
973552875
Practice Location Phone/Fax
| Phone: | 5414516282 |
| Fax: |
Provider Mailing Location
PO BOX 1193
CORVALLIS
OR
973391193
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |