Ellison, Catherine Marie
Ellison, Catherine Marie is an individual health care provider with primary practice located at 1040 Nw 22Nd Ave Suite 420, Portland OR 97210-3057. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Ellison, Catherine Marie can be contacted via phone (503) 488-2424.Contact Information
Primary practice address
1040 Nw 22Nd Ave Suite 420
Portland OR 97210-3057
Phone: (503) 488-2424
Fax: (503) 229-7105
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD13535 | Oregon |
Profile Details
| NPI number | 1831191535 |
|---|---|
| LBN Legal business name | Ellison, Catherine Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2005 |
| Last updated | Sep 16th, 2013 - about 11 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 | 1831191535 | NPPES |
| Washington | MEDICAID | 1302223 | |
| Washington | MEDICAID | 283226 |
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