Individual
DR. ROBERT BRUCE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3600 N INTERSTATE AVE, PORTLAND, OR 97227-1106
(503) 331-6500
Mailing address
4700 NW 138TH ST, VANCOUVER, WA 98685-1578
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
DO25644
OR
207RH0003X
Hematology & Oncology Physician
OP00001715
WA
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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