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NPI Code Detail

MEDICARE: ELIZABETH GIFFORD

MEDICARE:   ELIZABETH  GIFFORD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse10007186OR

General Provider Information

NPI Number : 1477404432
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH GIFFORD
Provider Business Mailing Address
First Line : 11301 NE 7TH ST APT RR 1
Second Line :
City : VANCOUVER
State : WA
Zip : 98684-4954
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 14850 SW 132ND TER
Second Line :
City : TIGARD
State : OR
Zip : 97224-6118
Country : US
Telephone Number : 503-431-4900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2026
Last Update Date : 02/05/2026

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Directions to “ ELIZABETH GIFFORD ” Practice Location

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