Individual provider · Type 1 NPI
Samantha Ellis
Nutrition Education Nutritionist · Tigard, OR
NPI number
1710341391
Active
Practice location
8915 SW Center St
Tigard, OR 97223-6307
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nutrition Education Nutritionist Primary | 133NN1002X | None listed |
Nutrition Education Nutritionist: Definition to come...
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About NPI 1710341391
Samantha Ellis's National Provider Identifier is 1710341391, issued on Apr 8, 2016. The primary taxonomy on file is Nutrition Education Nutritionist (133NN1002X), and the practice location is in Tigard, OR. The record was last updated on Apr 8, 2016.