Individual
HENRY IRWIN ELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1255 PEARL ST, EUGENE, OR 97401-3570
(541) 687-6983
(541) 684-7638
Mailing address
1255 PEARL ST, EUGENE, OR 97401-3570
(541) 687-6983
(541) 684-7638
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD 12543
OR
2084P0805X
Geriatric Psychiatry Physician
12543
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
237750
—
OR
Enumeration date
12/14/2006
Last updated
06/23/2016
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