Ellen Michaelson MD PC

NPI #1245437110 in Portland, Oregon

Provider Information

NPI Number
1245437110
Entity Type
Organization
Organization Name
Ellen Michaelson MD PC
Primary Specialty
Internal Medicine - Hematology
Enumeration Date
Jul 2, 2007
Last Updated
Jul 17, 2012

Practice Location

Address
2456 NW NORTHRUP ST
Address 2
UNIT 1-A
State
Oregon
ZIP Code
97210-3253
Phone
(503) 274-0045

Authorized Official

Name
DR. ELLEN MARION MICHAELSON, MD
Title
PRESIDENT
Phone
(503) 274-0045

Specialties & Taxonomy Codes

Specialty
Internal Medicine - HematologyHematology

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