SUSAN ELLIS

ROSEBURG, OR
NPI1750706800
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR  202114835NP-PP)
Enumeration Date2014-02-26
Last Update Date2025-09-29
Business Address
SUSAN ELLIS PMHNP
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-492-4550
Mailing Address
SUSAN ELLIS PMHNP
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number: 541-672-2691
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