Individual
MICHAEL ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2875 NW STUCKI AVE, HILLSBORO, OR 97124-5806
(866) 280-0511
Mailing address
2875 NW STUCKI AVE, HILLSBORO, OR 97124-5806
(866) 280-0511
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
183500000X
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
08281
OR
Other
Enumeration date
09/11/2009
Last updated
12/27/2016
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