Individual
KIMBERLEY ANN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA/CCC-SLP
Contact information
Practice address
1627 WOODS CT, HOOD RIVER, OR 97031-2915
(541) 387-1949
Mailing address
1627 WOODS CT, HOOD RIVER, OR 97031-2915
(541) 387-1949
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11185
OR
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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