Ellen Marion Michaelson
Internist Hematologist
2222 Nw Lovejoy St Ste 510
Portland
, Oregon 97210-5103
Ellen Marion Michaelson
Internist Hematologist
2222 Nw Lovejoy St Ste 510
Portland
, Oregon 97210-5103
(503) 274-0045
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About
Features
Specialties
- Internist
- Hematologist
Languages spoken
- English
Location
First Address
- Ellen Marion Michaelson
- 2222 Nw Lovejoy St Ste 510
- Portland, OR
- Zip : 97210-5103
- Phone : (503) 274-0045
Second Address
- Ellen Marion Michaelson
- 2222 Nw Lovejoy St Ste 510
- Portland, OR
- Zip : 97210-5103
- Phone : (503) 274-0045
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207R00000X | Internist | MD18281 | OR |
| Y | 111NI0900X | Internist | MD18281 | OR |
| N | 207RH0000X | Hematologist | MD018281 | OR |
National Provider Identifier
| NPI | 1255364972 |
|---|---|
| Provider Name | Ellen Marion Michaelson |
| First Address | Portland, OR 97210-5103 |
| Second Address | Portland, OR 97210-5103 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/07/2006 |
| Last Update Date | 09/08/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 057039 | OMAP (01) | OR |
| 804692001 | BLUE CROSS (01) | OR |
| A002 | TRICARE (01) | OR |
| E20424 | (02) | OR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.