Harlan, Elaine Mary
Harlan, Elaine Mary is an individual health care provider with primary practice located at 1255 Wallace Rd Nw , Salem OR 97304-3007. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Harlan, Elaine Mary can be contacted via phone (503) 362-1314.Contact Information
Primary practice address
1255 Wallace Rd Nw
Salem OR 97304-3007
Phone: (503) 362-1314
Fax: (503) 362-5895
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | Oregon |
Profile Details
| NPI number | 1619966801 |
|---|---|
| LBN Legal business name | Harlan, Elaine Mary |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2005 |
| Last updated | Nov 1st, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619966801 | NPPES |
| Oregon | MEDICAID | 278804 |
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