Provider Demographics
NPI:1417111295
Name:WALDRON, ELIZABETH H (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:H
Last Name:WALDRON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2610 NW GLENWOOD DR
Mailing Address - Street 2:HOUSE CALL DOC, LLC
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97330-3134
Mailing Address - Country:US
Mailing Address - Phone:541-740-3340
Mailing Address - Fax:541-207-3520
Practice Address - Street 1:2610 NW GLENWOOD DR
Practice Address - Street 2:HOUSE CALL DOC, LLC
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97330-3134
Practice Address - Country:US
Practice Address - Phone:541-740-3340
Practice Address - Fax:541-207-3520
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-11
Last Update Date:2011-04-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ORMD17598207R00000X, 207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine