Healthcare Provider Details

I. General information

NPI: 1598754129
Provider Name (Legal Business Name): ELIZABETH HIRNI DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2005
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 E MAIN ST
ROGUE RIVER OR
97537-9674
US

IV. Provider business mailing address

PO BOX 1020
ROGUE RIVER OR
97537-1020
US

V. Phone/Fax

Practice location:
  • Phone: 541-582-0505
  • Fax: 541-582-0778
Mailing address:
  • Phone: 541-582-0505
  • Fax: 541-582-0778

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberDO24524
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberDO24524
License Number StateOR
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD024524
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: