Search › Oregon › 171100000X
Emma Ellsworth, LAC
NPI 1013542208 · on the registry since 2020 · sole proprietor
Practice
- Address
- 12778 Se Stark St # 125
Portland, OR 97233 - Phone
- (503) 317-3113
Additional practice sites
- 1421 Se Ankeny St, Portland, OR
- 6230 Ne Halsey St, Portland, OR
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-03-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon