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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SAMANTHA MICHELLE ELLIS, BA

Active Sole Proprietor

SAMANTHA MICHELLE ELLIS, BA is a Peer Specialist healthcare provider located in MILWAUKIE, Oregon. NPI 1841652567 is currently active in the NPPES registry. Verify at CMS.

Peer Specialist · MILWAUKIE, OR

Registration Details

NPI Number
1841652567
Provider Type
Individual
Gender
Female
NPI Issued
Mar 22, 2016 (10.361213774239 yrs)
Last Updated
Dec 7, 2018
Licenses
CG 60478731 (WA)
THW000002555 (OR)
Sole Proprietor
Yes

Practice Information

Address
11097 SE 21ST AVE
MILWAUKIE, OR, 972227640
Browse OR providers · Browse ZIP 97222
Phone
9714010364
Primary Specialty
Peer Specialist
175T00000X
Additional Specialty
Peer Specialist

Other Peer Specialist Providers in MILWAUKIE, OR

Name Credential NPI
CLIFF SMITHERS QMHA, CPSS 1417315201
JAMES NICHOLAS 1407215635
JOYCE CHEESEMAN 1568916179
MS. MARGARET BARNETT 1891246872
ALONSO ARANDA I CRM 1013456037
AMANDA WILLARD 1245751890
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.