MARK OWEN ELLIS

ASTORIA, OR
NPI1437240124
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy213E00000X Podiatrist
(Licence: OR  DP00095)
Enumeration Date2006-09-27
Last Update Date2007-07-08
Business Address
-- MARK OWEN ELLIS DPM
582 22ND STREET
ASTORIA, OR 97103
Phone number: 503-325-0045
Mailing Address
-- MARK OWEN ELLIS DPM
582 22ND STREET
ASTORIA, OR 97103
Phone number: 503-325-0045
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