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1689560153
AMBER ELLIS
PORTLAND, OR
NPI
1689560153
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Entity Type
Individual
Gender
N/A
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2025-06-13
Last Update Date
2025-06-13
Business Address
AMBER ELLIS
2730 SW MOODY AVENUE
PORTLAND, OR 97201
Phone number: 503-494-3633
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Mailing Address
AMBER ELLIS
2730 S MOODY AVE
PORTLAND, OR 97201-5042
Phone number: 503-494-3633
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