SearchOregon1041C0700X

Annaliese Ellsworth, LCSW, MSW

NPI 1164838116 · on the registry since 2014 · sole proprietor

Practice

Address
550 Nw 3rd Ave Ste Bandc
Canby, OR 97013
Phone
(503) 342-2510
Fax
(503) 406-2637
Organisation at this address
R L Perez, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Additional practice sites

  • 14600 Nw Cornell Rd, Portland, OR
  • 10424 Se Cherry Blossom Dr Ste Cd&E, Portland, OR

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-05-24

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