Elder, Henry Irwin

Elder, Henry Irwin is an individual health care provider with primary practice located at 1255 Pearl St , Eugene OR 97401-3570. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Elder, Henry Irwin can be contacted via phone (541) 687-6983.

Contact Information

Primary practice address
1255 Pearl St Eugene OR 97401-3570
Phone: (541) 687-6983
Fax: (541) 684-7638
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD 12543 Oregon
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 12543 Oregon

Profile Details

NPI number 1356403455
LBN Legal business name Elder, Henry Irwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Jun 23rd, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356403455 NPPES
Oregon MEDICAID 237750

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