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 Date2021-12-28
Business Address
SUSAN ELLIS PMHNP
1937 W HARVARD AVE
ROSEBURG, OR 97471-2720
Phone number: 541-677-7200
Mailing Address
SUSAN ELLIS PMHNP
2570 NW EDENBOWER BLVD STE 100
ROSEBURG, OR 97471-6214
Phone number: 541-677-7200
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