Individual provider · Type 1 NPI

Mark Duane Ellis

Licensed Practical Nurse · Portland, OR

NPI number 1316580509 Active

Practice location

2600 SE Belmont St
Portland, OR 97214-2916

Call (503) 239-5738 Map

Fax (503) 963-9026

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X098005066LPN (OR)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1316580509

Mark Duane Ellis's National Provider Identifier is 1316580509, issued on Oct 21, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Portland, OR. The record was last updated on Oct 21, 2019.