Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELIZABETH PANUCO
Active Sole ProprietorELIZABETH PANUCO is a Psychiatric Residential Treatment Facility healthcare provider located in KLAMATH FALLS, Oregon. NPI 1962883793 is currently active in the NPPES registry. Verify at CMS.
Psychiatric Residential Treatment Facility · KLAMATH FALLS, OR
Registration Details
- NPI Number
- 1962883793
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 17, 2015 (11.19004725824 yrs)
- Last Updated
- Dec 21, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
121 IOWA STKLAMATH FALLS, OR, 976011606Browse OR providers · Browse ZIP 97601
- Phone
- 5418831030
- Primary Specialty
-
Psychiatric Residential Treatment Facility
320800000X
Other Psychiatric Residential Treatment Facility Providers in KLAMATH FALLS, OR
| Name | Credential | NPI |
|---|---|---|
| SCOTT RICHARDSON | — | 1356858369 |
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.