Sally Ellsworth
Sally Ellsworth is a Peer Specialist in Bend, Oregon. Licensed in Oregon. Registered with an NPI since 2020.
- Licensed in
- OR
- In the registry since
- 2020
Practice location Address checks out
20813 Liberty LnBend, OR 97701-8596
Phone: (541) 279-8630
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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 000004375 (OR) |
|---|
Record details
| NPI number | 1184220204 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 5, 2020 |
| Last updated in NPPES | December 5, 2020 |
| Certification date | December 5, 2020 |
| Mailing address | 20813 Liberty Ln, Bend, OR 97701-8596 |
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