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ELIZABETH L PETHTEL FNP
NPI 1043386717
Nurse Practitioner - Family in Medford, OR

Active since November 27, 2006
3170 STATE ST, MEDFORD, OR 97504(541) 864-8900(541) 245-3315 Get Directions Write a Review

NPPES record last updated: December 28, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elizabeth L Pethtel Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH L PETHTEL FNP (NPI 1043386717) is an individual family provider in Medford, Oregon, licensed in Oregon (O85072196) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1043386717
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELIZABETH L PETHTELCredential: FNP
Location Address3170 STATE STMedford, OR 97504-8450
Mailing Address3170 State StMedford, OR 97504-8450 · (541) 864-8900 · Fax (541) 245-3315
Phone(541) 864-8900
Fax(541) 245-3315
Sole ProprietorNo
Enumeration DateNovember 27, 2006
Last NPPES UpdateDecember 28, 2011
✔ NPI 1043386717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OR · O85072196
Also ListedNurse Practitioner · Community HealthTaxonomy 363LC1500X · License 085072196N1 (OR)
3170 STATE ST, Medford, OR 97504
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Other Identifiers 4

Medicaid112651OR
Medicare UPINC42479
OtherNP (36)OR · Dmap
Medicare ID-Type Unspecified112651OR

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DANIEL ALAN TOMLINSON MD
Obstetrics & Gynecology
3170 STATE ST
MEDFORD, OR 97504
Jackson County (541) 864-8900
MS. CARISSA MARIE ROSS MD
Obstetrics & Gynecology
3170 STATE ST
MEDFORD, OR 97504
Jackson County (541) 864-8900
DR. NICHOLAS MILLS MD
Obstetrics & Gynecology
3170 STATE ST
MEDFORD, OR 97504
Jackson County (541) 864-8900
MARY STRIZZI DO
Obstetrics & Gynecology
3170 STATE ST
MEDFORD, OR 97504
Jackson County (541) 864-8900
MEDFORD WOMENS CLINIC LLP
Obstetrics & Gynecology
3170 STATE ST
MEDFORD, OR 97504
Jackson County (541) 864-8900
DR. CINDY MARIE BOTTASSO DO
Obstetrics & Gynecology
3170 STATE ST
MEDFORD, OR 97504
Jackson County (541) 864-8900
KATHRYN PIERZALA STRINGER FNP, CNM
Nurse Practitioner (Family)
3170 STATE ST
MEDFORD, OR 97504
Jackson County (541) 864-8900
KIMBERLY D. LARSON WHCNP
Nurse Practitioner (Women's Health)
3170 STATE ST
MEDFORD, OR 97504
Jackson County (541) 864-8900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Pethtel's NPI number?

The NPI number for Elizabeth Pethtel is 1043386717. It was assigned to this individual provider in the NPPES registry on November 27, 2006.

Where is Elizabeth Pethtel located?

Elizabeth Pethtel practices at 3170 State St, Medford, OR 97504. The listed phone number is (541) 864-8900.

What is Elizabeth Pethtel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Elizabeth Pethtel was last updated on December 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.