Hall, Larry Jene

Hall, Larry Jene is an individual health care provider with primary practice located at 2010 Opportunity Lane , Glide OR 97443-9779. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Hall, Larry Jene can be contacted via phone (541) 496-4546.

Contact Information

Primary practice address
2010 Opportunity Lane Glide OR 97443-9779
Fax: (541) 496-8538
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 6527 Oregon

Profile Details

NPI number 1225207202
LBN Legal business name Hall, Larry Jene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2008
Last updated Feb 25th, 2008 - about 17 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 1225207202 NPPES
Oregon MEDICAID 080796

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