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WARREN L ELLISON, M.D.
NPI 1619176799
Family Medicine in Clarkston, WA

Active since July 17, 2007
1207 EVERGREEN CT, CLARKSTON, WA 99403(208) 758-2928(208) 758-2623 Get Directions Write a Review

NPPES record last updated: April 11, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Warren L Ellison, M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WARREN L ELLISON, M.D. (NPI 1619176799) is a healthcare organization registered as a family medicine in Clarkston, Washington and active in the NPI registry since July 2007. The organization lists Jeff J Bishop, Account Manager, as its authorized official.

NPPES Registry Identity

NPI1619176799
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWARREN L ELLISON, M.D.
Location Address1207 EVERGREEN CTClarkston, WA 99403-2843
Mailing Address1207 Evergreen CtClarkston, WA 99403-2843 · (208) 758-2928 · Fax (208) 758-2623
Phone(208) 758-2928
Fax(208) 758-2623
Organization SubpartNo
Authorized OfficialJeff J BishopAccount Manager · (208) 683-2928
Enumeration DateJuly 17, 2007
Last NPPES UpdateApril 11, 2008
✔ NPI 1619176799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · MD00023004
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1207 EVERGREEN CT, Clarkston, WA 99403
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Other Identifiers 4

Medicaid1007293WA
Medicare PIN1140091ID
Medicare PINCF8512
Medicare PINGAB05603WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD J. WEILAND, JR., M.D.
Family Medicine
1207 EVERGREEN CT
CLARKSTON, WA 99403
Asotin County (509) 758-0006
MR. GREGORY ROBERT OBRAY PA-C
Physician Assistant (Surgical)
1207 EVERGREEN CT
CLARKSTON, WA 99403
Asotin County (509) 769-2254
DR. BRYAN JAMES BEARDSLEY M.D.
Orthopaedic Surgery
1207 EVERGREEN CT
CLARKSTON, WA 99403
Asotin County (509) 769-2255
LAWRENCE M. GARGES, MD, PLLC
Allergy & Immunology
1207 EVERGREEN CT
CLARKSTON, WA 99403
Asotin County (509) 751-0600
CHERIE JAN RASH ARNP
Nurse Practitioner (Family)
1207 EVERGREEN CT
CLARKSTON, WA 99403
Asotin County (509) 751-0600
WARREN L ELLISON M.D.
Family Medicine
1207 EVERGREEN CT
CLARKSTON, WA 99403
Asotin County (509) 758-0875

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Warren L Ellison, M.D.'s NPI number?

The NPI number for Warren L Ellison, M.D. is 1619176799. It was assigned to this organization in the NPPES registry on July 17, 2007.

Where is Warren L Ellison, M.D. located?

Warren L Ellison, M.D. is located at 1207 Evergreen Ct, Clarkston, WA 99403. The listed phone number is (208) 758-2928.

What is Warren L Ellison, M.D.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Warren L Ellison, M.D. was last updated on April 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.