Individual
MR. SEAN C ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP
Contact information
Practice address
1600 STATE ST, SALEM, OR 97301
(503) 540-6300
(503) 540-6404
Mailing address
1600 STATE ST, SALEM, OR 97301-4257
(503) 540-6300
(503) 540-6404
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
200650057NP
OR
Other
Enumeration date
07/12/2007
Last updated
06/10/2019
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