IndividualActive
Elizabeth Pethtel, FNP
NPI 1043386717 · Family Nurse Practitioner · Medford, OR
Provider details
- NPI number
- 1043386717
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- License
- O85072196 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3170 State St
Medford, OR 97504-8450
Phone: (541) 864-8900
Fax: (541) 245-3315
Street-level locationGet directions
Mailing address
3170 State St
Medford, OR 97504-8450
Registry dates
- Enumerated
- 2006-11-27
- Last updated
- 2011-12-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.