Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA LAINE ELLIS, M.D.
ActiveJESSICA LAINE ELLIS, M.D. is a Sports Medicine healthcare provider located in SPRINGFIELD, Oregon. NPI 1245270222 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · SPRINGFIELD, OR
Registration Details
- NPI Number
- 1245270222
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 7, 2006 (20.14219578281 yrs)
- Last Updated
- Dec 4, 2015
- License
-
MD172850 (OR)
Practice Information
- Address
-
1435 G STSPRINGFIELD, OR, 974774113Browse OR providers · Browse ZIP 97477
- Phone
- 5412424812
- Fax
- 5412424813
- Primary Specialty
-
Sports Medicine
207QS0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.