Scott Ellis

NPI 1467639906 - Counselor - 101YM0800X

NPI Details
NPI 1467639906
Gender Male
Enumeration Date 01/28/2008
Last Updated 02/25/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
33 NW BROADWAY
PORTLAND OR, 97209-3580, US
Phone (971) 271-6418
Fax
Business Location
33 NW BROADWAY
PORTLAND OR, 97209-3580, US
Phone
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Scott Ellis NPI is 1467639906, taxonomy code is 101YM0800X Scott Ellis physically located at 33 Nw Broadway, Portland OR, 97209-3580. NPI Number Scott Ellis has the Individual type.

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1467639906 NPI number is provided on an as is basis without warranty of any kind. 1467639906 is maintained by the National Plan & Provider Enumeration System. The contents of Scott Ellis are for informational purposes only.