ELISA DENISE GARRETT

LEBANON, OR
NPI1811550866
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: OR  201903457NP-PP)
Additional Taxonomies363LG0600X Nurse Practitioner, Gerontology
(Licence: OR  AG03190056)
Enumeration Date2019-04-16
Last Update Date2020-11-10
Business Address
ELISA DENISE GARRETT AGNP-C
100 MULLINS DR STE C2
LEBANON, OR 97355-2868
Phone number: 541-451-6413
Mailing Address
ELISA DENISE GARRETT AGNP-C
PO BOX 1193
CORVALLIS, OR 97339-1193
Phone number: