Individual provider · Type 1 NPI

Sherri Lee Ellsworth

Mental Health Counselor · Portland, OR

NPI number 1487900601 Active

Practice location

2415 SE 43rd Ave
Portland, OR 97206-1600

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1487900601

Sherri Lee Ellsworth's National Provider Identifier is 1487900601, issued on Jul 25, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Mar 29, 2013.