Ulmer, Mary Ellen
Ulmer, Mary Ellen is an individual health care provider with primary practice located at 15950 Sw Millikan Way , Beaverton OR 97006. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ulmer, Mary Ellen can be contacted via phone (503) 646-0161.Contact Information
Primary practice address
15950 Sw Millikan Way
Beaverton OR 97006
Phone: (503) 646-0161
Fax: (503) 643-7459
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD21482 | Oregon |
Profile Details
NPI number | 1396836870 |
---|---|
LBN Legal business name | Ulmer, Mary Ellen |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 27th, 2006 |
Last updated | Nov 25th, 2020 - 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 | 1396836870 | NPPES |
Oregon | MEDICAID | 135239 |
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