MARK DUANE ELLIS

PORTLAND, OR
NPI1316580509
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OR  098005066LPN)
Enumeration Date2019-10-21
Last Update Date2019-10-21
Business Address
MARK DUANE ELLIS
2600 SE BELMONT ST
PORTLAND, OR 97214-2916
Phone number: 503-239-5738
Mailing Address
MARK DUANE ELLIS
2600 SE BELMONT ST
PORTLAND, OR 97214-2916
Phone number: 503-239-5738
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