RYAN L ELLSWORTH

PORTLAND, OR
NPI1013447309
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  L8595)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: OR  A4926)
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  19-07-07)
Enumeration Date2017-06-19
Last Update Date2023-08-02
Business Address
RYAN L ELLSWORTH LCSW, CADC I
847 NE 19TH AVE STE 100
PORTLAND, OR 97232-2684
Phone number: 503-238-0769
Mailing Address
RYAN L ELLSWORTH LCSW, CADC I
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 971-349-9664