Female

Dr. Julie Ellner M.D.

Full Name

Dr. Julie Ellner M.D.

NPI Number

1316925357

NPI Type

Individual Provider

Gender

Female

Enumeration Date

01/09/2006

Specialties

(Taxonomies)

Code

2080A0000X
208000000X

Primary Taxonomy

No
No

Licenses

State

Washington

License Number

MD30804

Contact
Information

Purpose

Mailing
Location

Address

2553 76TH AVE SE
2553 76TH AVE SE

City

Mercer Island
Mercer Island

State

WA
WA

Postal Code

98040-2758
98040-2758

Country

US
US

Telephone Number

(206) 275-2122
(206) 275-2122

Identifiers

Identifier

1082056
EL0032

Identifier State

WA
WA

Identifier Issuer

Unknown
RIDER NUMBER

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address