Jude Regan Elliott
Prosthetist
675 12th St Se
Salem
, Oregon 97301-4002
Jude Regan Elliott
Prosthetist
675 12th St Se
Salem
, Oregon 97301-4002
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About
Features
Specialties
- Prosthetist
Languages spoken
- English
Location
First Address
- Jude Regan Elliott
- 675 12th St Se
- Salem, OR
- Zip : 97301-4002
- Phone :
Second Address
- Jude Regan Elliott
- 675 12th St Se
- Salem, OR
- Zip : 97301-4002
- Phone : (503) 581-9191
Reviews
FAQs
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In what state does Jude Regan Elliott practice in?
Where is Jude Regan Elliott ’s practice located?
What is Jude Regan Elliott ’s gender?
Is Jude Regan Elliott a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224P00000X | Prosthetist | CPO1930 | OR |
National Provider Identifier
| NPI | 1154845204 |
|---|---|
| Provider Name | Jude Regan Elliott |
| First Address | Salem, OR 97301-4002 |
| Second Address | Salem, OR 97301-4002 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/07/2017 |
| Last Update Date | 31/07/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1930 | (05) | OR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.