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: |