CHAD STEPHEN ELLSWORTH

TIGARD, OR
NPI1447760202
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2017-10-06
Last Update Date2017-10-06
Business Address
CHAD STEPHEN ELLSWORTH RN
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3690
Mailing Address
CHAD STEPHEN ELLSWORTH RN
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3690
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