-- JESSICA LAINE ELLIS -- M.D.
Individual Provider (NPI-1)
Active
Family Medicine, Sports Medicine
Provider Information
- NPI Number
1245270222- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 1435 G ST, SPRINGFIELD, OR, 974774113
- Phone
- (541) 242-4812
- Fax
- (541) 242-4813
Specialties & Taxonomies
Family Medicine, Sports Medicine
Primary License: OR #MD172850