Individual provider · Type 1 NPI

Nichole S. Ellerman, BA

Specialist · Grants Pass, OR

NPI number 1912022591 Active

Practice location

322 NW F St
Grants Pass, OR 97526-2052

Call (541) 479-2966 Map

Fax (541) 479-1652

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1912022591

Nichole S. Ellerman, BA's National Provider Identifier is 1912022591, issued on Mar 20, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Grants Pass, OR. The record was last updated on Jul 8, 2007.