Individual
ELLIE OSSENKOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 NW 12TH AVE STE 107, BATTLE GROUND, WA 98604-9141
(360) 723-0528
Mailing address
5403 NE 384TH ST, LA CENTER, WA 98629-4714
(360) 608-1815
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
RN70012608
WA
Other
Enumeration date
10/09/2025
Last updated
10/09/2025
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