Ellingson's Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

RP-0000952-CS Issued in OR

Legal business name

ELLINGSON'S INC.

Doing business as

Ellingson's Pharmacy

Practice address

6620 NE 79TH CT
Suite 1
Portland, OR 97218-2862

Phone

(503) 257-3373

Fax

(503) 408-9041

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Mark Victor Ellingson

Title

Owner

Phone

(503) 257-3373

Specialties & licenses 1

Addresses

Other names 1

• Ellingson's Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780769398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6620 NE 79TH CT",
            "address_2": "SUITE 1",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972182862",
            "telephone_number": "503-257-3373",
            "fax_number": "503-408-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 NE 79TH CT",
            "address_2": "SUITE 1",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972182862",
            "telephone_number": "503-257-3373",
            "fax_number": "503-408-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLINGSON'S INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELLINGSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "VICTOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-257-3373",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OR",
            "license": "RP-0000952-CS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellingson's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Eller, DPM
• Randy Lee Ellerbrook, M.D.
• Amanda Ellig, BSN, RN
• Quinn Ellingsen
• Marie Cederna Ellingson, RPT
• Angie Elliot, ND, LAC
• Annaliese Elliot
• Diane Louise Elliot, MD
• Elliott Dentistry, PC
• Kendra Irene Elliott Green, DNP, CNM

• Pharmacy in Portland, OR
• Providers in Portland, OR by specialty
• Pharmacy in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.