Provider Demographics
NPI:1265528012
Name:BJORNSKOV, ELIZABETH KATHERINE (MD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:KATHERINE
Last Name:BJORNSKOV
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1000 OAK GROVE RD NW
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97304-9535
Mailing Address - Country:US
Mailing Address - Phone:503-365-0448
Mailing Address - Fax:503-375-5729
Practice Address - Street 1:2400 LANCASTER DR NE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97305-1221
Practice Address - Country:US
Practice Address - Phone:503-763-5917
Practice Address - Fax:503-375-5729
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR166642084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORF05557Medicare UPIN