Individual provider · Type 1 NPI

Angela M. Ellis

Peer Specialist · Grants Pass, OR

NPI number 1669124129 Active

Practice location

1545 Harbeck Rd
Grants Pass, OR 97527-5605

Call (541) 476-2373 Map

Mailing address

1215 SW G St
Grants Pass, OR 97526-2544

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1669124129

Angela M. Ellis's National Provider Identifier is 1669124129, issued on Jan 25, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Grants Pass, OR. The record was last updated on Jun 10, 2026.