JOHN MICHAEL ELLISON

PORTLAND, OR
NPI1245672286
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OR  201390532NP-PP)
Enumeration Date2013-07-18
Last Update Date2023-06-09
Business Address
JOHN MICHAEL ELLISON FNP
1321 NE 99TH AVE STE 100
PORTLAND, OR 97220-9437
Phone number: 503-215-9900
Mailing Address
JOHN MICHAEL ELLISON FNP
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494
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