NPI

Elizabeth Anne Mabry

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
CSWI
Type
Individual
Enumeration date
2018-04-02
Last updated
2026-07-25

Specialties

Licenses

License OR
L12236
License NV
8767-C

Location

Practice location
1701 Nw Hawthorne Ave
City
Grants Pass OR
Postal code
97526-1051
Phone
(541) 472-4777

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Grants Pass, OR. 2,533 records in the public file.

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