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1487900601
SHERRI LEE ELLSWORTH
PORTLAND, OR
NPI
1487900601
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-07-25
Last Update Date
2013-03-29
Business Address
-- SHERRI LEE ELLSWORTH
2415 SE 43RD AVE
PORTLAND, OR 97206-1600
Phone number: 503-238-0705
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Mailing Address
-- SHERRI LEE ELLSWORTH
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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