Individual
ELLEN MARIE LANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7319 N JOHN AVE STE 101, PORTLAND, OR 97203
(503) 489-8789
Mailing address
6504 NE 9TH AVE, PORTLAND, OR 97211-3619
(949) 933-3491
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
06/27/2017
Last updated
07/21/2022
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