Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EBELOSELE EL-HANNAN AIGBIVBALU, MD
ActivePediatrics · ROSEBURG, OR
Registration Details
- NPI Number
- 1164918108
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 2, 2018 (7.8652124134978 yrs)
- Last Updated
- Oct 6, 2025
- Licenses
-
BP10063912 (TX)V9841 (TX)
Practice Information
- Address
-
2700 NW STEWART PARKWAYROSEBURG, OR, 97471Browse OR providers · Browse ZIP 97471
- Phone
- 5416772888
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Neonatal-Perinatal Medicine
Other Pediatrics Providers in ROSEBURG, OR
| Name | Credential | NPI |
|---|---|---|
| ROBERT LOUIS DANNENHOFFER | MD | 1306873393 |
| JACQUELYN OUTCALT GROSHONG | M.D. | 1700893674 |
| AMBER R. MILLER | D.O. | 1700987203 |
| ARIC A GROSHONG | MD | 1619078110 |
| JUDY BLACK | M.D. | 1770786667 |
| DR. LUCINDA JANE DYKES | M.D. | 1396986782 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.