Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennifer Ellis, PSS

Individual provider Peer Specialist · NPI 1093530958

Jennifer Ellis, PSS is a Peer Specialist in Keizer, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2024
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Practice location Address checks out

761 Chemawa Rd N
Keizer, OR 97303-5714
Phone: (971) 398-7744
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 112617 (OR)

Record details

NPI number1093530958
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials PSS
Sole proprietorYes
NPI enumeratedNovember 16, 2024
Last updated in NPPESNovember 16, 2024
Certification dateNovember 16, 2024

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