Mark Owen Ellis, DPM

NPI #1437240124 in Astoria, Oregon

Provider Information

NPI Number: 1437240124
Entity Type: Individual
Name: Mark Owen Ellis, DPM
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Podiatrist
Credential: DPM
Enumeration Date: Sep 27, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 582 22ND STREET
City: Astoria
State: Oregon
ZIP Code: 97103
Phone: (503) 325-0045

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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Organizations

Provider Name	Specialty	City
Rivershore Foot and Ankle Clinic Inc.	Podiatrist	Astoria	AI Deep Dive
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