Individual
ALEXANDRIA ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSWA
Contact information
Practice address
5441 S MACADAM AVE STE R, PORTLAND, OR 97239-6106
(704) 975-2078
Mailing address
5441 S MACADAM AVE STE R, PORTLAND, OR 97239-6106
(704) 975-2078
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
A16490
OR
Other
Enumeration date
05/16/2025
Last updated
05/29/2025
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