Individual
MOLLY ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3115 NE SANDY BLVD STE 231, PORTLAND, OR 97232-2779
(503) 701-8766
Mailing address
4942 SE 74TH AVE, PORTLAND, OR 97206-4340
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
4201
OR
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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