| Doctor Name: | MRS. HAIYUN ELLINA MA |
| NPI Number: | 1053638536 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 200850172NP |
| Business Practice Address: | 355 W 3rd Ave Junction City, OR - 974481313 |
| Business Phone Number: | 5419986750 |
| Business Fax Number: | 5419981247 |
| Mailing Address: | 355 W 3rd Ave, JUNCTION CITY |
| State: | OR |
| Postal Code: | 974481313 |
| Phone Number: | 5419986750 |
| Fax Number: | 5419981247 |
| NPI Enumeration Date: | 04/23/2010 |
| NPI Last Update Date: | 04/23/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 200850172NP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |