Organization
STERLING G. ELLSWORTH PH.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE ELLSWORTH (OFFICE MANAGER)
(541) 935-6215
Entity
Organization
Contact information
Practice address
25450 ARNOLD LN, ELMIRA, OR 97437-9782
(541) 935-6215
Mailing address
PO BOX 635, ELMIRA, OR 97437-0635
(541) 935-6215
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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