Individual
ROBIN ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3040 CENTER ST NE, SALEM, OR 97301-4528
(503) 373-3762
Mailing address
3030 CENTER ST NE, SALEM, OR 97301-4528
(503) 373-3762
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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