Individual
ELLIE GRACE BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1411 SW MORRISON ST STE 310, PORTLAND, OR 97205-1945
(503) 352-2400
Mailing address
1837 EVERETT ST, FOREST GROVE, OR 97116-3193
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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