SALLY ELLSWORTH

BEND, OR
NPI1184220204
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
(Licence: OR  000004375)
Enumeration Date2020-12-05
Last Update Date2020-12-05
Business Address
SALLY ELLSWORTH
20813 LIBERTY LN
BEND, OR 97701-8596
Phone number: 541-279-8630
Mailing Address
SALLY ELLSWORTH
20813 LIBERTY LN
BEND, OR 97701-8596
Phone number: