Individual provider · Type 1 NPI

Scott Ellis

Mental Health Counselor · Tigard, OR

NPI number 1467639906 Active

Practice location

8915 SW Center St
Tigard, OR 97223-6307

Call (503) 726-3960 Map

Mailing address

7621 N Portsmouth Ave
Portland, OR 97203-5953

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1467639906

Scott Ellis's National Provider Identifier is 1467639906, issued on Jan 28, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tigard, OR. The record was last updated on May 12, 2022.