Ellenby, Miles Steven
Ellenby, Miles Steven is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd Doernbecher Children'S Hospital Pediatric Icu, Portland OR 97239-3011. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as his primary health care specialty. Ellenby, Miles Steven can be contacted via phone (503) 418-5800.Contact Information
Primary practice address
3181 Sw Sam Jackson Park Rd Doernbecher Children'S Hospital Pediatric Icu
Portland OR 97239-3011
Phone: (503) 418-5800
Fax: (503) 418-5804
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | MD22157 | Oregon |
Profile Details
| NPI number | 1780692210 |
|---|---|
| LBN Legal business name | Ellenby, Miles Steven |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Jul 14th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780692210 | NPPES |
| Oregon | MEDICAID | 130353 |
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