Mark Duane Ellis is a licensed practical nurse in Portland, OR. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Mark Duane Ellis NPI is 1316580509. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2600 SE BELMONT ST
PORTLAND, OR
ZIP 97214-916
Phone: (503) 239-5738
Fax: (503) 963-9026
The enumeration date for this NPI number is 10/21/2019 and was last updated on 10/21/2019.