SAMANTHA MICHELLE ELLIS

MILWAUKIE, OR
NPI1841652567
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
(Licence: OR  THW000002555)
Additional Taxonomies104100000X Social Worker
(Licence: WA  CG 60478731)
Enumeration Date2016-03-22
Last Update Date2018-12-07
Business Address
SAMANTHA MICHELLE ELLIS BA
11097 SE 21ST AVE
MILWAUKIE, OR 97222-7640
Phone number: 971-401-0364
Mailing Address
SAMANTHA MICHELLE ELLIS BA
11097 SE 21ST AVE
MILWAUKIE, OR 97222-7640
Phone number: 971-401-0364