Individual
DR. STEVEN ELLSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
7100 SW HAMPTON ST STE 140, TIGARD, OR 97223-8375
(503) 639-5773
(503) 684-8115
Mailing address
7100 SW HAMPTON ST STE 140, TIGARD, OR 97223-8375
(503) 639-5773
(503) 684-8115
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2338
OR
Other
Enumeration date
03/27/2007
Last updated
07/09/2007
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