Individual provider · Type 1 NPI

Tawney Lee Ellis

Mental Health Counselor · Portland, OR

NPI number 1508424524 Active

Practice location

9115 SW Oleson Rd Ste 100
Portland, OR 97223-6876

Mailing address

2586 NW Parnell Ter
Portland, OR 97229-4484

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X101YM0800X (OR)

Mental Health Counselor: Definition to come...

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About NPI 1508424524

Tawney Lee Ellis's National Provider Identifier is 1508424524, issued on Jun 4, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jun 4, 2019.