Individual
GEORGIANA K ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
SEATTLE CANCER CARE ALLIANCE, 825 EASTLAKE AVENUE EAST, SEATTLE, WA 98109
(206) 288-7400
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD00020969
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1035781
—
WA
01
—
110097209
RAILROAD MEDICARE
WA
01
—
5718
INTERNAL ID-MOTOR VEHICLE ID
—
Enumeration date
10/27/2006
Last updated
05/30/2008
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