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1467478164
ELLEN J HALVERSON
PALMER, AK
NPI
1467478164
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: AK 4152)
Enumeration Date
2006-07-14
Last Update Date
2020-09-30
Business Address
Dr. ELLEN J HALVERSON M.D.
2250 S WOODWORTH LOOP SUITE 202
PALMER, AK 99645-7412
Phone number: 907-761-5800
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Mailing Address
Dr. ELLEN J HALVERSON M.D.
PO BOX 4105
PORTLAND, OR 97208-4105
Phone number: 866-907-1068
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