Individual
EILEEN T MCELLIGOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
600 NW 11TH ST STE E37, HERMISTON, OR 97838-8604
(541) 567-5305
(541) 667-3487
Mailing address
620 NW 11TH ST STE M201, HERMISTON, OR 97838-6941
(541) 289-4118
(541) 667-3484
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
088007207N1
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213051
—
OR
Enumeration date
11/02/2005
Last updated
03/31/2021
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