Michaelson, Ellen Marion
Michaelson, Ellen Marion is an individual health care provider with primary practice located at 2222 Nw Lovejoy St Ste 510 , Portland OR 97210-5103. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Michaelson, Ellen Marion can be contacted via phone (503) 274-0045.Contact Information
Primary practice address
2222 Nw Lovejoy St Ste 510
Portland OR 97210-5103
Phone: (503) 274-0045
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | MD018281 | Oregon |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD18281 | Oregon |
Profile Details
| NPI number | 1255364972 |
|---|---|
| LBN Legal business name | Michaelson, Ellen Marion |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2006 |
| Last updated | Aug 9th, 2021 - about 4 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 | 1255364972 | NPPES |
| Oregon | Other | A002 | TRICARE |
| Oregon | Other | 057039 | TRICARE |
| Oregon | Other | 804692001 | TRICARE |
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