JAEZPR ELLYS

MILWAUKIE, OR
NPI1427857408
Former NameELYSSA SMITH
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OR  10237)
Enumeration Date2025-03-11
Last Update Date2025-03-11
Business Address
JAEZPR ELLYS
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222-4628
Phone number: 877-311-1499
Mailing Address
JAEZPR ELLYS
211 NE MORRIS ST
PORTLAND, OR 97212-3019
Phone number:
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