Individual
DR. ERIC FILLMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP FNP-C
Contact information
Practice address
1900 HINES ST SE STE 190, SALEM, OR 97302-1356
(971) 208-9249
(971) 342-3008
Mailing address
1900 HINES ST SE STE 190, SALEM, OR 97302-1356
(971) 208-9249
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201900972NP
OR
363LF0000X
Family Nurse Practitioner
AP7996
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041349
—
AZ
Enumeration date
06/17/2015
Last updated
02/18/2026
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