Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMANTHA ELLIS
Active Sole ProprietorNutrition, Education · TIGARD, OR
Registration Details
- NPI Number
- 1710341391
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 8, 2016 (10.076812017632 yrs)
- Last Updated
- Apr 8, 2016
- Sole Proprietor
- Yes
Practice Information
- Address
-
8915 SW CENTER STTIGARD, OR, 972236307Browse OR providers · Browse ZIP 97223
- Phone
- 5057263740
- Primary Specialty
-
Nutrition, Education
133NN1002X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.