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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK OWEN ELLIS, DPM

Active

MARK OWEN ELLIS, DPM is a Podiatrist healthcare provider located in ASTORIA, Oregon. NPI 1437240124 is currently active in the NPPES registry. Verify at CMS.

Podiatrist · ASTORIA, OR

Registration Details

NPI Number
1437240124
Provider Type
Individual
Gender
Male
NPI Issued
Sep 27, 2006 (19.850491454509 yrs)
Last Updated
Jul 8, 2007
License
DP00095 (OR)

Practice Information

Address
582 22ND STREET
ASTORIA, OR, 97103
Browse OR providers · Browse ZIP 97103
Phone
5033250045
Fax
5033253242
Primary Specialty
Podiatrist
213E00000X

Other Podiatrist Providers in ASTORIA, OR

Name Credential NPI
MARK RAWSON DPM 1841261625
DR. NANCY RAY MD 1942365234
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.