Elaine Mary Harlan, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Practice address

1255 Wallace Rd NW
Salem, OR 97304-3007

Phone

(503) 362-1314

Fax

(503) 362-5895

NPI assigned

Oct 19, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1619966801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 WALLACE RD NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973043007",
            "telephone_number": "503-362-1314",
            "fax_number": "503-362-5895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 WALLACE RD NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973043007",
            "telephone_number": "503-362-1314",
            "fax_number": "503-362-5895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARLAN",
        "first_name": "ELAINE",
        "middle_name": "MARY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-19",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278804",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Hare, M.D.
• Barbara J Hargand
• Devon Hargrove
• Brittany Harker, LMSW
• Destini Harkins
• Will Harley, CRM
• Frederick Jon Harman, RPH
• Richard Harman Jr., RDH
• Peter Anthony Harmer, ATC
• Elizebeth R. Harmon, M.D.

• Family Nurse Practitioner in Salem, OR
• Providers in Salem, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.