MR. STEVEN EDWARD ELLIS (NPI# 1588645691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588645691 |
| Entity Type | Individual |
| Full Name | MR. STEVEN EDWARD ELLIS |
| Credential | D.C. |
| Practice Address |
57594 Tygh Valley Rd Suite 2 Tygh Valley OR 97063-8715 |
| Mailing Address |
Po Box 297 Tygh Valley OR 97063-0297 |
| Practice Telephone | 5414832362 |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2018-08-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 27-1756 | OR | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 261750 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699008011 | Steven Lee Ellis | Optometrist | 142 State Route 35, Eatontown, NJ 07724-1876 | 2009-09-16 |
| 1255565065 | Steven L. Ellis | Denturist | 155 Saco Ave, Old Orchard Beach, ME 04064-1600 | 2009-05-07 |
| 1982694246 | Steven Edward Ellis | Dentist | 215 Oak St, Livingston, TN 38570-1726 | 2005-10-26 |
| 1225031453 | Steven Paul Ellis | Ophthalmology | 123 Franklin Corner Rd, Ste 207, Lawrenceville, NJ 08648-2526 | 2005-05-23 |
| 1821431123 | Steven Phillip Ellis Jr. | Psychiatry & Neurology | 3801 S National Ave Ste 900, Springfield, MO 65807 | 2013-04-17 |
| 1841325024 | Steven Ellis | Family Medicine | 7539 Soquel Drive, Aptos, CA 95003-4926 | 2007-02-21 |
| 1043354269 | Steven Lee Ellis | Emergency Medicine | 4801 Alberta Ave, El Paso, TX 79905-2707 | 2007-02-19 |
| 1124164504 | Steven A Ellis | Anesthesiology | 1235 E Cherokee St, Springfield, MO 65804-2203 | 2007-01-30 |
| 1942354246 | Steven Frank Ellis | Otolaryngology | 5370 College Blvd, Suite 100, Overland Park, KS 66211-1891 | 2007-01-23 |
| Street Address |
57594 TYGH VALLEY RD SUITE 2 |
| City | TYGH VALLEY |
| State | OR |
| Zip Code | 97063-8715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366904286 | Andrew Houck | Chiropractor | 57594 Tygh Valley Rd, Tygh Valley, OR 97063-8715 | 2019-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447489539 | Wamic Rural Fire Protection District | Ambulance | 11 S. County Rd., Tygh Valley, OR 97063-9701 | 2009-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447489539 | Wamic Rural Fire Protection District | Ambulance | 11 S. County Rd., Tygh Valley, OR 97063-9701 | 2009-07-09 |
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366904286 | Andrew Houck | Chiropractor | 57594 Tygh Valley Rd, Tygh Valley, OR 97063-8715 | 2019-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093999 | Allison Robinson | Chiropractor | 1225 Multnomah Rd, Hood River, OR 97031-9713 | 2020-11-04 |
| 1073113635 | Adam Hernandez | Chiropractor | 10208 Sw Conestoga Dr Apt 41, Beaverton, OR 97008-8416 | 2020-10-31 |
| 1700486958 | Amy Elizabeth Goebel | Chiropractor | 5103 Se Stark St Apt B, Portland, OR 97215-1764 | 2020-10-27 |
| 1053918193 | Evan Chin | Chiropractor | 3615 Sw Hall Blvd, Beaverton, OR 97005-2053 | 2020-10-01 |
| 1003423914 | Evergreen Chiropractic PC | Chiropractor | 7145 Sw Varns St Ste 203, Portland, OR 97223-8168 | 2020-09-24 |
| 1013522358 | Terri Ann Truesdale | Chiropractor | 4455 Sw Salmon Pl, Redmond, OR 97756-1983 | 2020-09-14 |
| 1750993283 | University of Western States Healthcare Inc | Chiropractor | 8000 Ne Tillamook St, Portland, OR 97213-6655 | 2020-08-17 |
| 1902421811 | John Paul Hurd | Chiropractor | 21885 Or62, Shady Cove, OR 97539 | 2020-06-16 |
| 1396360210 | Urban Health Chiropractic LLC | Chiropractor | 1610 N Adair St Ste D, Cornelius, OR 97113-8832 | 2020-06-16 |
| 1518587989 | Kristy Pearl Arneson | Chiropractor | 3715 Se Cesar E Chavez Blvd, Portland, OR 97202-1704 | 2020-04-25 |
| Find all providers with the same taxonomy | ||||
| City | TYGH VALLEY |
| Zip Code | 97063 |
Please comment or provide details below to improve the information on MR. STEVEN EDWARD ELLIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.