Individual
MS. ELAINE EVELYN ERVIN HANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
435 LANCASTER DR NE, SALEM, OR 97301-4729
(503) 585-6388
Mailing address
435 LANCASTER DR NE, SALEM, OR 97301-4729
(503) 585-6388
(503) 585-0669
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201700971NP PP
OR
Other
Enumeration date
02/21/2017
Last updated
03/17/2017
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