Taylor Anne Ellingsen
Oral & Maxillofacial Surgeon
1959 Ne Pacific St
Seattle
, Washington 98195-0001
Taylor Anne Ellingsen
Oral & Maxillofacial Surgeon
1959 Ne Pacific St
Seattle
, Washington 98195-0001
(509) 389-5567
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About
Features
Specialties
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Taylor Anne Ellingsen
- 1959 Ne Pacific St Box 357134
- Seattle, WA
- Zip : 98195-0001
- Phone : (509) 389-5567
Second Address
- Taylor Anne Ellingsen
- 1959 Ne Pacific St
- Seattle, WA
- Zip : 98195-0001
- Phone : (425) 954-6797
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 204E00000X | Oral & Maxillofacial Surgeon | 61163825 | WA |
National Provider Identifier
| NPI | 1275110041 |
|---|---|
| Provider Name | Taylor Anne Ellingsen |
| First Address | Seattle, WA 98195-0001 |
| Second Address | Seattle, WA 98195-0001 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/03/2021 |
| Last Update Date | 01/07/2021 |
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.