Individual
MRS. ELSE DORINE ELLENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6765 SALAL PLACE, GLENEDEN BEACH, OR 97388
(541) 270-1585
Mailing address
PO BOX 624, GLENEDEN BEACH, OR 97388-0624
(541) 270-1585
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
64204
OR
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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