Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0102X | Surgical Critical Care | DO173258 | OR |
Y | 2086S0127X | Trauma Surgeon | DO173258 | OR |
NPI | 1124261979 |
---|---|
Provider Name | Dr. Elizabeth Maryann Windell |
First Address | Salem, OR 97301-3934 |
Second Address | Salem, OR 97301-3934 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2009 |
Last Update Date | 03/02/2020 |