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Sally Ellsworth
NPI 1184220204 · on the registry since 2020
Practice
- Address
- 20813 Liberty Ln
Bend, OR 97701 - Phone
- (541) 279-8630
- Organisation at this address
- D.A.W.N.S House
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-12-05
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