Individual
DR. STERLING GRANT ELLSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD PC
Contact information
Practice address
25450 ARNOLD LN, ELMIRA, OR 97437-9782
(541) 935-6215
Mailing address
25450 ARNOLD LN, ELMIRA, OR 97437-9782
(541) 935-6215
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0087
OR
Other
Enumeration date
02/21/2007
Last updated
09/27/2016
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