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1134823404
ELLEN SAMPSON
PORTLAND, OR
NPI
1134823404
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-29
Last Update Date
2023-03-29
Business Address
ELLEN SAMPSON
1015 NW 22ND AVE
PORTLAND, OR 97210-3025
Phone number: 503-413-8401
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Mailing Address
ELLEN SAMPSON
1315 EVERITT MEMORIAL HWY
MOUNT SHASTA, CA 96067-9797
Phone number:
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