Haines, Erin L

Haines, Erin L is an individual health care provider with primary practice located at 110 Main St , Moro OR 97039-3115. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Haines, Erin L can be contacted via phone (541) 565-3325.

Contact Information

Primary practice address
110 Main St Moro OR 97039-3115
Phone: (541) 565-3325
Fax: (541) 565-3617
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA01244 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA01244 Oregon

Profile Details

NPI number 1467651018
LBN Legal business name Haines, Erin L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2007
Last updated Apr 3rd, 2023 - about 3 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 1467651018 NPPES
Oregon MEDICAID 226813

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