Individual
ELLIS DENN WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1680 CHAMBERS ST STE 103, EUGENE, OR 97402-3655
(541) 682-3550
Mailing address
3437 SNOWBERRY RD, EUGENE, OR 97403-3257
(432) 528-2394
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
202010323RN
OR
163W00000X
Registered Nurse
RN.1644253
CO
363LF0000X
Family Nurse Practitioner
Primary
10000925
OR
363LF0000X
Family Nurse Practitioner
APN.1000806-NP
CO
Other
Enumeration date
07/21/2020
Last updated
10/16/2025
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