SALLY ELLSWORTH NPI 1184220204

NPI Information

Sally Ellsworth is a peer specialist in Bend, OR. The provider is 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. Sally Ellsworth NPI is 1184220204. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

20813 LIBERTY LN
BEND, OR
ZIP 97701-596
Phone: (541) 279-8630

The enumeration date for this NPI number is 12/5/2020 and was last updated on 12/5/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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