Ellis - Wittenhagen, Jamie Lynn

Ellis - Wittenhagen, Jamie Lynn is an individual health care provider with primary practice located at 890 Oak St Se , Salem OR 97301-3905. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Ellis - Wittenhagen, Jamie Lynn can be contacted via phone (503) 561-5200.

Contact Information

Primary practice address
890 Oak St Se Salem OR 97301-3905
Phone: (503) 561-5200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 125.064533 Illinois
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X DO188703 Oregon
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 007284 Arizona

Profile Details

NPI number 1740601525
LBN Legal business name Ellis - Wittenhagen, Jamie Lynn
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2013
Last updated Jan 25th, 2022 - about 2 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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