Fillmore, Eric

Fillmore, Eric is an individual health care provider with primary practice located at 1900 Hines St Se Ste 190 , Salem OR 97302-1356. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Fillmore, Eric can be contacted via phone (971) 208-9249.

Contact Information

Primary practice address
1900 Hines St Se Ste 190 Salem OR 97302-1356
Phone: (971) 208-9249
Fax: (971) 342-3008
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 201900972NP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP7996 Arizona

Profile Details

NPI number 1235510058
LBN Legal business name Fillmore, Eric
Credentials DNP FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2015
Last updated Feb 18th, 2026 - about 8 months 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 1235510058 NPPES
Arizona MEDICAID 041349

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