JOHN MICHAEL ELLISON (NPI# 1245672286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245672286 |
| Entity Type | Individual |
| Full Name | JOHN MICHAEL ELLISON |
| Credential | NP |
| Practice Address |
18750 Se Stark St Portland OR 97233-5330 |
| Mailing Address |
Po Box 92900 Clinic Billing Office Portland OR 97292 |
| Practice Telephone | 5036666717 |
| Practice Fax Number | 5036666745 |
| Mailing Telephone | 5032616085 |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2014-04-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
201390532NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609128065 | John Gerald Ellison | Dentist | 1658 Washington Ave, Vincennes, IN 47591-4842 | 2012-10-10 |
| 1376713586 | John Ellison | Optometrist | 5421 S 1900 W, Roy, UT 84067-2908 | 2008-03-04 |
| 1730398546 | John Kenny Ellison | Registered Nurse | 12516 Crestline Ave Ne, Albuquerque, NM 87112-3616 | 2007-05-21 |
| 1528414984 | John Ellison | Family Medicine | 400 N Jefferson St, Lewisburg, WV 24901-1177 | 2016-05-04 |
| 1093845943 | John Masou Ellison | Emergency Medicine | 23625 Wr Holman Highway, Monterey, CA 93940 | 2007-03-07 |
| 1669427118 | John R. Ellison | Family Medicine | 1051 4th Ave, Gallipolis, OH 45631-1612 | 2006-05-23 |
| Street Address |
18750 SE STARK ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97233-5330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720060353 | Stephanie O'connor | Nurse Practitioner | 18750 Se Stark St, Portland, OR 97233-5330 | 2005-11-18 |
| 1043522949 | Christopher M. Love | Family Medicine | 18750 Se Stark St, Portland, OR 97233-5330 | 2010-07-08 |
| 1073577276 | Luther W Johansen | Family Medicine | 18750 Se Stark St, Portland, OR 97233-5330 | 2006-04-14 |
| 1487618781 | John S Loomis IIi | Family Medicine | 18750 Se Stark St, Portland, OR 97233-5330 | 2006-04-13 |
| 1821051509 | Jean-elie Moreau | Nurse Practitioner | 18750 Se Stark St, Portland, OR 97233-5330 | 2006-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448164 | Moore Therapy Services, LLC | Behavioral Analyst | 2053 Se 181st Ave, Portland, OR 97233 | 2020-08-20 |
| 1427563733 | Central City Concern Inc | Clinic/Center | 1415 Se 122nd Ave, Portland, OR 97233 | 2017-12-08 |
| 1427573443 | Sunshine Ahc | In Home Supportive Care | 2217 Se 156th Ave, Portland, OR 97233 | 2017-08-10 |
| 1538609433 | Nathaniel Davis Jr. | Counselor | 8915 Se Center St, Tigard, OR 97233 | 2017-02-27 |
| 1154878627 | Oregon Outreach Inc | Case Management | 1740 South East 139th Avenue, Portland, OR 97233 | 2016-09-01 |
| 1023461019 | Julianne Baltzley | Counselor | 2409 Se 149th Avenue, Portland, OR 97233 | 2016-07-14 |
| 1710332143 | Emma Slater | Counselor | 12360 Se Burnside, Portland, OR 97233 | 2016-05-04 |
| 1245621952 | Gregory Brett Bledsoe | Counselor | 1427 Se 182nd Ave., Portland, OR 97233 | 2015-02-17 |
| 1396149852 | Jacqueline Bension | Counselor | 1705 Se 122nd Ave, Portland, OR 97233 | 2014-10-13 |
| 1700206950 | Olga I Zlatova I | Dental Hygienist | 325 Se 154th Ave, Portland, OR 97233 | 2014-04-25 |
| Find all providers in zip 97233 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822794 | Danielle Langer | Nurse Practitioner | 35 Ridgeview Rd, Portland, CT 06480-4014 | 2020-08-23 |
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1114566650 | Sadie Garnache-poirier | Nurse Practitioner | 65 W Commercial St Ste 107, Portland, ME 04101-4789 | 2020-01-02 |
| 1902441629 | Jennifer Marie Colpitts | Nurse Practitioner | 1600 Congress St Ste B, Portland, ME 04102-2148 | 2019-11-18 |
| 1477102689 | Raquel A Bishop | Nurse Practitioner | 12400 Nw Cornell Rd Ste 100, Portland, OR 97229 | 2019-09-10 |
| 1265081640 | Christina Lee | Nurse Practitioner | 144 State St # 1, Portland, ME 04101-3776 | 2019-09-09 |
| 1407401474 | Abby Christine Vopal | Nurse Practitioner | 66 Bramhall St Fl 1, Portland, ME 04102-3355 | 2019-08-07 |
| 1770145294 | Cynthia Marie Martinez | Nurse Practitioner | 1145 Austin St, Portland, TX 78374-2013 | 2019-07-04 |
| 1528532306 | Matthew James Keelin | Nurse Practitioner | 6801 Ne Cornfoot Rd, Portland, OR 97218-2743 | 2019-01-15 |
| 1659847580 | Colleen Jeanette Scott | Nurse Practitioner | 650 Nw Irving St, Portland, OR 97209-1272 | 2018-10-18 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.