ELIZABETH DIVINE

MEDFORD, OR
NPI1801479936
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR  10021024)
Enumeration Date2021-05-05
Last Update Date2026-01-13
Business Address
ELIZABETH DIVINE DNP
1744 E MCANDREWS RD STE B
MEDFORD, OR 97504-5576
Phone number: 503-965-0349
Mailing Address
ELIZABETH DIVINE DNP
1744 E MCANDREWS RD STE B
MEDFORD, OR 97504-5576
Phone number:
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