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Samantha Ellis
Nutrition Education Nutritionist in Tigard, Oregon
NPI 1710341391

Samantha Ellis is a Nutrition Education Nutritionist based in Tigard, OR and is specialized in Nutrition, Education. Samantha Ellis practices in Tigard, OR. The NPI Number for Samantha Ellis is 1710341391 and holds a License No. (Oregon).

The current practice location address for Samantha Ellis is 8915 Sw Center St, Tigard, OR and can be reached out via phone at 505-726-3740.

Location: 8915 Sw Center St, Tigard, OR, 97223-6307
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710341391
Provider Name
Samantha Ellis
Credential
Provider Entity Type
Individual
Gender
Female
Address
8915 Sw Center St, Tigard, OR, 97223-6307
Phone Number
505-726-3740
Fax Number
Provider Enumeration Date
04/08/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8915 Sw Center St
City
Tigard
State
Oregon
Zip
97223-6307
Phone Number
505-726-3740
Fax Number
person
Provider Business Mailing Address Details
Address
8915 Sw Center St
City
Tigard
State
Oregon
Zip
97223-6307
Phone Number
505-726-3740
Fax Number
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Nutritionist
Speciality
Nutrition, Education
Taxonomy
133NN1002X
License No.
()
Definition
Definition to come...
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