person
Mark Duane Ellis
Licensed Practical Nurse in Portland, Oregon
NPI 1316580509

Mark Duane Ellis is a Licensed Practical Nurse based in Portland, OR. Mark Duane Ellis practices in Portland, OR. The NPI Number for Mark Duane Ellis is 1316580509 and holds a License No. 098005066LPN (Oregon).

The current practice location address for Mark Duane Ellis is 2600 Se Belmont St, Portland, OR and can be reached out via phone at 503-239-5738 and via fax at 503-963-9026.

Location: 2600 Se Belmont St, Portland, OR, 97214-2916
person
Provider Profile Details
NPI Number
1316580509
Provider Name
Mark Duane Ellis
Credential
Provider Entity Type
Individual
Gender
Male
Address
2600 Se Belmont St, Portland, OR, 97214-2916
Phone Number
503-239-5738
Fax Number
503-963-9026
Provider Enumeration Date
10/21/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2600 Se Belmont St
City
State
Zip
97214-2916
Phone Number
503-239-5738
Fax Number
503-963-9026
person
Provider Business Mailing Address Details
Address
2600 Se Belmont St
City
State
Zip
97214-2916
Phone Number
503-239-5738
Fax Number
503-963-9026
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
License No.
098005066LPN (Oregon)
Definition
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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