PREETIVI ELLIS

SPRINGFIELD, OR
NPI1538471305
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208M00000X Hospitalist
(Licence: OR  MD166207)
Additional Taxonomies207R00000X Internal Medicine
(Licence: TX  R5110)
207R00000X Internal Medicine
(Licence: CA  A122222)
207RG0300X Internal Medicine, Geriatric Medicine
(Licence: CA  A122222)
208M00000X Hospitalist
(Licence: TX  R1515)
Enumeration Date2010-07-09
Last Update Date2023-10-11
Business Address
Dr. PREETIVI ELLIS M.D FACP
3377 RIVERBEND DR
SPRINGFIELD, OR 97477-8803
Phone number: 541-222-6389
Mailing Address
Dr. PREETIVI ELLIS M.D FACP
1115 SE 164TH AVE DEPT 358
VANCOUVER, WA 98683-8004
Phone number: 360-729-1253