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Ellamae Ann Smith
Peer Specialist in Hillsboro, Oregon
NPI 1568016871

Ellamae Ann Smith is a Peer Specialist based in Portland, OR. Ellamae Ann Smith practices in Hillsboro, OR. The NPI Number for Ellamae Ann Smith is 1568016871 and holds a License No. (Oregon).

The current practice location address for Ellamae Ann Smith is 720 Se Washington St, Hillsboro, OR and can be reached out via phone at 503-239-8400 and via fax at 503-239-8407.

Location: 720 Se Washington St, Hillsboro, OR, 97214-1328
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568016871
Provider Name
Ellamae Ann Smith
Credential
Provider Entity Type
Individual
Gender
Female
Address
720 Se Washington St, Hillsboro, OR, 97214-1328
Phone Number
503-239-8400
Fax Number
503-239-8407
Provider Enumeration Date
07/25/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
720 Se Washington St
City
Hillsboro
State
Oregon
Zip
97123-4230
Phone Number
503-239-8400
Fax Number
503-239-8407
person
Provider Business Mailing Address Details
Address
720 Se Washington St
City
Hillsboro
State
Oregon
Zip
97123-4230
Phone Number
503-239-8400
Fax Number
503-239-8407
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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