Ellen Michaelson MD PC

Primary specialty

Hematology (Internal Medicine) PhysicianTaxonomy code 207RH0000X

License

MD018281 Issued in OR

Legal business name

ELLEN MICHAELSON MD PC

Practice address

2456 NW Northrup St
Unit 1-a
Portland, OR 97210-3253

Phone

(503) 274-0045

Fax

(503) 243-6632

NPI assigned

Jul 2, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ellen Marion Michaelson, MD

Title

President

Phone

(503) 274-0045

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/4671/brand/1/csg/1/fhir/r4

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342483200000",
    "number": "1245437110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2456 NW NORTHRUP ST",
            "address_2": "UNIT 1-A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103253",
            "telephone_number": "503-274-0045",
            "fax_number": "503-243-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2456 NW NORTHRUP ST",
            "address_2": "UNIT 1-A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103253",
            "telephone_number": "503-274-0045",
            "fax_number": "503-243-6632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLEN MICHAELSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2012-07-17",
        "status": "A",
        "authorized_official_last_name": "MICHAELSON",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "MARION",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-274-0045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology",
            "state": "OR",
            "license": "MD018281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "831885000",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "A002",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lauren Eller, DPM

• Hematology (Internal Medicine) Physician in Portland, OR
• Providers in Portland, OR by specialty
• Hematology (Internal Medicine) Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.