Individual
DR. TAMARA M ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHH (MFT)
Contact information
Practice address
219 HIDALGO ST, LAKE OSWEGO, OR 97035
(503) 869-0308
Mailing address
219 HIDALGO ST, LAKE OSWEGO, OR 97035
(503) 869-0308
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
CA41062
CA
Other
Enumeration date
06/04/2007
Last updated
04/15/2025
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