Evan D Ellis is a Sports Medicine in Vancouver, Washington. Evan D Ellis practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Evan D Ellis is 1366559163. The last update date is 2012-09-17.
Evan D Ellis's current location address is 200 Ne Mother Joseph Pl, Vancouver, Washington. You can contact this provider via phone number 3602546161 and fax number 3604491139. The mailing address for Evan D Ellis is 200 Ne Mother Joseph Pl, Vancouver, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Evan D Ellis |
|---|---|
| Address | 200 Ne Mother Joseph Pl, Vancouver, Washington |
| Phone Number | 3602546161 |
| Fax Number | 3604491139 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1366559163 |
|---|---|
| Provider Enumeration Date | 2006-08-25 |
| Last Updated Date | 2012-09-17 |
Provider Mailing Address Detail
| Address | 200 Ne Mother Joseph Pl |
|---|---|
| City | Vancouver |
| State | Washington (WA) |
| Post Code | 986643299 |
| Phone Number | 3602546161 |
| Fax Number | 3604491139 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | MD60270460 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1366559163 | WA | -- |
Post Comment/ Review Below
What is the Evan D Ellis's unique identification number?
The Evan D Ellis has been assigned the NPI (National Provider Identifier) Number 1366559163 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Evan D Ellis is geographically located?
The Evan D Ellis is physically situated at the following location: 200 Ne Mother Joseph Pl, Vancouver, WA, 986643299.
What is Evan D Ellis's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Evan D Ellis is Sports Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Xx0005X.
When was the Evan D Ellis's 1366559163 issued?
The Evan D Ellis's 1366559163 was issued on 2006-08-25.
As of what date were the details related to Evan D Ellis most recently updated or revised?
The information pertaining to Evan D Ellis, including its address, specialty, and other relevant details, was last updated or revised on 2012-09-17.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY