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

Ellen Dejong, MD

Individual provider Family Medicine Physician · NPI 1639167638

Ellen Dejong, MD is a Family Medicine Physician in Everett, Washington. Licensed in Nevada and Washington. Registered with an NPI since 2005.

Licensed in
NV, WA
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3927 Rucker Ave
Everett, WA 98201-4833
Phone: (425) 339-5422
Fax: (425) 339-5444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD00024413 (WA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 14042 (NV)

Record details

NPI number1639167638
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 12, 2005
Last updated in NPPESApril 14, 2021
Certification dateApril 14, 2021
Mailing addressPo Box 5127, Everett, WA 98206-5127

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