Individual provider · Type 1 NPI

Ebony Elise Ingram

Other Technician · Oakland, CA

NPI number 1881365583 Active

Practice location

426 17th St Ste 2
Oakland, CA 94612-2820

Call (510) 433-8600 Map

Mailing address

426 17th St Fl 2
Oakland, CA 94612-2820

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Other Technician Primary 247200000XNone listed

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1881365583

Ebony Elise Ingram's National Provider Identifier is 1881365583, issued on Sep 22, 2021. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Oakland, CA. The record was last updated on Oct 15, 2025.