Individual
ERIN D. ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1221 MADISON ST, SEATTLE, WA 98104-3588
(206) 386-2323
(206) 386-2729
Mailing address
PO BOX 84026, SEATTLE, WA 98124-8426
(206) 386-2323
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00028959
WA
207RX0202X
Medical Oncology Physician
Primary
MD00028959
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447334164
—
WA
Enumeration date
10/25/2006
Last updated
05/18/2021
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