Individual
DONALD E ELLINGSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 W 5TH AVE STE 400, SPOKANE, WA 99204-2715
(509) 344-2663
(509) 624-9179
Mailing address
601 W 5TH AVE STE 400, SPOKANE, WA 99204-2715
(509) 344-2663
(509) 624-9179
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD00030696
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010002352
REGENCE BLUE SHIELD
ID
05
—
003296600
—
ID
05
—
1083740
—
WA
01
—
200015881
RR MEDICARE
WA
01
—
3429
GROUP HEALTH NW
WA
01
—
379109600
OWCP
—
01
—
44492
DEPT OF LABOR & INDUSTRIE
WA
01
—
8922409
CRIME VICTIMS
WA
01
—
E40491
ASURIS NW HEALTH
WA
01
—
K6401
BLUE CROSS OF ID
ID
Enumeration date
02/27/2006
Last updated
11/15/2024
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