Individual provider · Type 1 NPI

John Michael Ellison, FNP

Family Nurse Practitioner · Portland, OR

NPI number 1245672286 Active

Practice location

1321 NE 99th Ave Ste 100
Portland, OR 97220-9437

Mailing address

PO Box 3158
Portland, OR 97208-3158

Other practice locations

  • 18750 SE Stark St, Portland, OR 97233-5330 · (503) 666-6717

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X201390532NP-PP (OR)

Family Nurse Practitioner: Definition to come...

16 other providers at this address

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About NPI 1245672286

John Michael Ellison, FNP's National Provider Identifier is 1245672286, issued on Jul 18, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Portland, OR. The record was last updated on Jun 9, 2023.