IndividualActive
Elizabeth Bouressa, M.D.
NPI 1104890631 · Pediatrics Physician · Albany, OR
Provider details
- NPI number
- 1104890631
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- MD203466 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(95/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
734 Elm St Sw
Albany, OR 97321-1934
Phone: (541) 812-5111
Street-level locationGet directions
Mailing address
Po Box 1189
Corvallis, OR 97339-1189
Additional practice locations (1)
- 2073 Olympic StSpringfield, OR 97477-3413Phone: (541) 682-3550
Registry dates
- Enumerated
- 2006-02-13
- Last updated
- 2023-06-20
- Certified
- 2023-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.