Individual
DR. WILLIAM BLOUNT ELLISON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
890 OAK ST SE, SALEM, OR 97301-3905
(843) 568-2969
Mailing address
417 N 2ND ST, SILVERTON, OR 97381-1707
(843) 568-2969
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD215164
OR
Other
Enumeration date
06/03/2019
Last updated
08/04/2024
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