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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255364972 NPPES
Oregon Other A002 TRICARE
Oregon Other 057039 TRICARE
Oregon Other 804692001 TRICARE

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