Individual
JOHN ERLEND ELLINGBOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2121 NE 139TH ST STE 325, VANCOUVER, WA 98686-2319
(360) 254-6161
(360) 449-1146
Mailing address
200 NE MOTHER JOSEPH PL STE 210, VANCOUVER, WA 98664-3295
(360) 254-6161
(360) 449-1146
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60883482
WA
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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