Andrae, Ellen L
Andrae, Ellen L is an individual health care provider with primary practice located at 1003 Providence Dr Suite 110, Newberg OR 97132-7521. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Andrae, Ellen L can be contacted via phone (503) 537-5900.Contact Information
Primary practice address
1003 Providence Dr Suite 110
Newberg OR 97132-7521
Phone: (503) 537-5900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | A98807 | California |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD151662 | Oregon |
Profile Details
| NPI number | 1427248202 |
|---|---|
| LBN Legal business name | Andrae, Ellen L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2007 |
| Last updated | Jan 18th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427248202 | NPPES |
| Oregon | Other | P00873834 | RR MEDICARE - PROVIDENCE |
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