Andrae, Ellen L

Andrae, Ellen L is an individual health care provider with primary practice located at 1003 Providence Dr Suite 110, Newberg OR 97132-7521. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Andrae, Ellen L can be contacted via phone (503) 537-5900.

Contact Information

Primary practice address
1003 Providence Dr Suite 110 Newberg OR 97132-7521
Phone: (503) 537-5900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X A98807 California
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD151662 Oregon

Profile Details

NPI number 1427248202
LBN Legal business name Andrae, Ellen L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2007
Last updated Jan 18th, 2021 - about 5 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 1427248202 NPPES
Oregon Other P00873834 RR MEDICARE - PROVIDENCE

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