MRS. ELIZABETH A ELDENBURG (NPI# 1447720974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447720974 |
| Entity Type | Individual |
| Full Name | MRS. ELIZABETH A ELDENBURG |
| Other Name | MS. ELIZABETH A GRANADA |
| Credential | PA-C |
| Practice Address |
505 Ne 87th Ave Ste 250 Vancouver WA 98664-1965 |
| Mailing Address |
2599 Ne Overlook Dr Apt 825 Hillsboro OR 97124-7614 |
| Practice Telephone | 3605141010 |
| Mailing Telephone | 4237623430 |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2018-11-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
60910425 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
505 NE 87TH AVE STE 250 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98664-1965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497928691 | Gabriel Plastic Surgery, Ps | Surgery | 505 Ne 87th Ave Ste 250, Vancouver, WA 98664-1965 | 2008-04-08 |
| 1083193403 | Allen Gabriel Md, Pllc | Surgery | 505 Ne 87th Ave Ste 250, Vancouver, WA 98664-1965 | 2018-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249938 | Angelica Maria Parle-fresquez | Speech-Language Pathologist | Early Childhood Assessment Center - Lieser School, 301 S. Lieser Rd, Vancouver, WA 98664 | 2020-09-10 |
| 1467923441 | Elizabeth Steen | Counselor | 230 E. State St., Mossyrock, WA 98664 | 2018-12-17 |
| 1497241657 | Chelsey Nicole Parker | Peer Specialist | 9815 Ne 3rd St, Vancouver, WA 98664 | 2018-07-10 |
| 1881145431 | Brent Homan | Occupational Therapist | 807 Se Morgan Rd., Vancouver, WA 98664 | 2016-10-19 |
| 1114474277 | Rebecca Marie Stefan | Nurse's Aide | 10025 Ne 19th St, Vancouver, WA 98664 | 2016-09-07 |
| 1528454105 | Alicia Ford | Dietitian, Registered | 700 Ne 87th Ave Ste 280, Vancouver, WA 98664 | 2015-04-10 |
| 1033504261 | Reid Roberts Bennett | Anesthesiology | 505 Ne 87th Ave Ste 210, Vancouver, WA 98664 | 2015-04-03 |
| 1235550856 | Nikolay Nikolaevich Chernukhin Jr. | Chiropractor | 221-a Ne 104th Ave, Suite 205, Vancouver, WA 98664 | 2013-12-27 |
| 1013278712 | Serena Harker | Physical Therapy Assistant | 221a Ne 104th Ave, Suite #205, Vancouver, WA 98664 | 2012-05-30 |
| 1295091080 | Rebeca C Johnson | Massage Therapist | 11015 Ne 4th Plain Suite B, Vancouver, WA 98664 | 2012-04-05 |
| Find all providers in zip 98664 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457343766 | Laura Deesha Ramme | Physician Assistant | 200 Ne Mother Joseph Pl, Suite 410, Vancouver, WA 98664-3299 | 2005-08-22 |
| 1073996823 | Grace Deng | Physician Assistant | 505 Ne 87th Ave, Building A Suite 250, Vancouver, WA 98664-1989 | 2015-06-29 |
| 1164804647 | Jenny Lou Eldredge | Physician Assistant | 400 Ne Mother Joseph Place, Vancouver, WA 98664 | 2015-06-22 |
| 1194969717 | Mary-colleen D. Zucconi | Physician Assistant | 200 Ne Mother Joseph Pl Ste 110, Vancouver, WA 98664 | 2009-04-27 |
| 1982899365 | Jennifer D Hermes | Physician Assistant | 200 Ne Mother Joseph Pl, Suite 210, Vancouver, WA 98664-3299 | 2007-09-10 |
| 1881702033 | Michael Walter Hibbs | Physician Assistant | 203 Se Park Plaza Dr, Vancouver, WA 98684-5886 | 2006-08-28 |
| 1093751703 | Kyle M. Richter | Physician Assistant | 200 Ne Mother Joseph Pl, Suite 110, Vancouver, WA 98664-3299 | 2006-06-21 |
| 1225074990 | Bonnie L. Rosenfeld | Physician Assistant | 200 Ne Mother Joseph Pl, Suite 110, Vancouver, WA 98664-3299 | 2006-06-21 |
| 1285670885 | Brett A. Rasmussen | Physician Assistant | 200 Ne Mother Joseph Pl, Suite 110, Vancouver, WA 98664-3299 | 2006-06-21 |
| 1912942079 | Christopher E. Carson | Physician Assistant | 200 Ne Mother Joseph Pl, Suite 110, Vancouver, WA 98664-3299 | 2006-06-20 |
| Find all providers in VANCOUVER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.