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

Mary Eden Ellis

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1851892939

Mary Eden Ellis is a Student in an Organized Health Care Education/Training Program in Shoreline, Washington. Works from 2 locations. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2

Practice location Address checks out

17018 15th Ave NE
Shoreline, WA 98155-5137
Phone: (206) 384-8691
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8770 Sw Scoffins St, Tigard, OR 97223-6226 — (503) 684-1424

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1851892939
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 23, 2018
Last updated in NPPESAugust 23, 2019
Mailing address17018 15th Ave Ne, Shoreline, WA 98155-5137

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