Individual
JOELLE KAELYNN ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5035 NE ELAM YOUNG PKWY STE 500, HILLSBORO, OR 97124-6473
(503) 844-4325
Mailing address
10926 SW CELESTE LN APT 406, PORTLAND, OR 97225-7111
(541) 654-6984
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21225
OR
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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