Individual
ELLEN J BORLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER, TACOMA, WA 98431-6051
(253) 968-0648
Mailing address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
(541) 382-2811
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200650037NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00834444
MEDICARE RAILROAD
OR
05
—
240538
—
OR
Enumeration date
05/16/2006
Last updated
06/18/2019
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