NPI 1831394980

Page Elizabeth Backus

Practitioner Lodging Provider Central Point, OR

Practice location

Address: 168 Lavender Ln, Central Point, OR 97502-3627
Phone: (541) 664-4677

Registered specialties

Lodging Provider Primary

Other Service Providers Taxonomy 177F00000X Licence 90155121870804D (OR)

Other Lodging providers in Oregon →

Registry record

NPI: 1831394980
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Jun 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.