Individual
ELLEN KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1180 PATTERSON ST STE 3-A, EUGENE, OR 97401-3619
(541) 505-8180
(541) 505-7134
Mailing address
PO BOX 5571, EUGENE, OR 97405-0571
(541) 505-8180
(541) 505-7134
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
11-03676
KS
2251X0800X
Orthopedic Physical Therapist
Primary
2004030790
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37718011
BCBSKC
KS
Enumeration date
06/12/2007
Last updated
12/12/2022
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