Individual
ALISSA LYNN ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSWA
Contact information
Practice address
7160 SW 130TH AVE, BEAVERTON, OR 97008-5114
(734) 383-1714
Mailing address
7160 SW 130TH AVE, BEAVERTON, OR 97008-5114
(734) 383-1714
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
A15933
OR
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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