Provider Demographics
NPI:1215548508
Name:GREER, HELEN LACSINA
Entity Type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:LACSINA
Last Name:GREER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7956
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97303-0206
Mailing Address - Country:US
Mailing Address - Phone:503-602-5015
Mailing Address - Fax:503-385-8024
Practice Address - Street 1:248 ELMA AVE SE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97317-5464
Practice Address - Country:US
Practice Address - Phone:971-600-3969
Practice Address - Fax:971-599-5622
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-11
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR525366251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health