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1447760202
CHAD STEPHEN ELLSWORTH
TIGARD, OR
NPI
1447760202
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-10-06
Last Update Date
2017-10-06
Business Address
CHAD STEPHEN ELLSWORTH RN
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3690
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Mailing Address
CHAD STEPHEN ELLSWORTH RN
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3690
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