Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VX0201X | Gynecologic Oncologist | 16801 | NH |
N | 207VX0201X | Gynecologic Oncologist | 227714 | MA |
Y | 207VX0201X | Gynecologic Oncologist | MD29435 | OR |
NPI | 1508838897 |
---|---|
Provider Name | Dr. Elizabeth Grace Munro |
First Address | Portland, OR 97239-3011 |
Second Address | Portland, OR 97239-3011 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2006 |
Last Update Date | 08/01/2016 |