Individual
ERIKA MICHELLE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 12TH ST STE C, HOOD RIVER, OR 97031-9540
(541) 716-1316
Mailing address
1700 12TH ST STE C, HOOD RIVER, OR 97031-9540
(541) 716-1316
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
420118
OR
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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