Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael R Ellen MD Ps

Organization Urology Physician · NPI 1174637599

Michael R Ellen MD Ps is an Urology Physician in Olympia, Washington. Licensed in Washington. Registered with an NPI since 2006.

Licensed in
WA
In the registry since
2006

Practice location Address checks out

128 Lilly Rd NE Ste 205
Olympia, WA 98506-5029
Phone: (360) 754-3380
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence MD00026526 (WA)

Record details

NPI number1174637599
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Ellen — Owner · (360) 754-3380
NPI enumeratedAugust 19, 2006
Last updated in NPPESAugust 22, 2020
Mailing address128 Lilly Rd Ne, Suite 205, Olympia, WA 98506-5029

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