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

Warren L Ellison, MD

Organization Family Medicine Physician · NPI 1619176799

Warren L Ellison, MD is a Family Medicine Physician in Clarkston, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007
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Practice location Address checks out

1207 Evergreen Ct
Clarkston, WA 99403-2843
Phone: (208) 758-2928
Fax: (208) 758-2623
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Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD00023004 (WA)

Record details

NPI number1619176799
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeff Bishop — Account Manager · (208) 683-2928
NPI enumeratedJuly 17, 2007
Last updated in NPPESApril 11, 2008
Mailing address1207 Evergreen Ct, Clarkston, WA 99403-2843

Other providers in Clarkston