Angela M Ellis
Angela M Ellis is a Peer Specialist in Grants Pass, Oregon. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1545 Harbeck RdGrants Pass, OR 97527-5605
Phone: (541) 476-2373
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Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1669124129 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 25, 2022 |
| Last updated in NPPES | June 10, 2026 |
| Certification date | June 10, 2026 |
| Mailing address | 1215 Sw G St, Grants Pass, OR 97526-2544 |
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109 NE Manzanita Ave, Grants Pass, OR 97526-1400 · (541) 476-2373
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