Individual
DR. JULIE ELLNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9675 SE 36TH ST STE 100, MERCER ISLAND, WA 98040-3723
(206) 275-2122
(206) 275-0860
Mailing address
9675 SE 36TH ST STE 100, MERCER ISLAND, WA 98040-3723
(206) 275-2122
(206) 275-0860
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD30804
WA
2080A0000X
Pediatric Adolescent Medicine Physician
MD30804
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1082056
—
WA
01
—
EL0032
RIDER NUMBER
WA
Enumeration date
01/09/2006
Last updated
07/22/2025
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