Individual
JORDYN R ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
608 LANCASTER DR SE, SALEM, OR 97317-5643
(503) 877-1995
(888) 990-1352
Mailing address
608 LANCASTER DR SE, SALEM, OR 97317-5643
(503) 877-1995
(888) 990-1352
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
115728
OR
Other
Enumeration date
12/24/2025
Last updated
03/05/2026
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