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
Fax: (503) 362-5895
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619966801 NPPES
Oregon MEDICAID 278804

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