Mark Duane Ellis
Mark Duane Ellis is a Licensed Practical Nurse in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2019.
- Licensed in
- OR
- In the registry since
- 2019
Practice location Address checks out
2600 SE Belmont StPortland, OR 97214-2916
Phone: (503) 239-5738
Fax: (503) 963-9026
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Practical Nurse (primary) | Taxonomy 164W00000X · Licence 098005066LPN (OR) |
|---|
Record details
| NPI number | 1316580509 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 21, 2019 |
| Last updated in NPPES | October 21, 2019 |
| Mailing address | 2600 Se Belmont St, Portland, OR 97214-2916 |
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