Most Relevant Information
Provider Data
| NPI Number: | 1003552829 |
| Provider Name: | ELISABETH ERIN PAYNE |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/05/2022 |
| Last Updated: | 05/05/2022 |
Provider Practice Location
215 SE JACKSON ST
ROSEBURG
OR
974703341
Practice Location Phone/Fax
| Phone: | 5414646660 |
| Fax: |
Provider Mailing Location
1036 SE DOUGLAS AVE.
ROOM CH105A
ROSEBURG
OR
97470
Provider Mailing Phone/Fax
| Phone: | 5413912636 |
| Fax: |