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Sadie Ginicola-Ellenberg

NPI 1912414335 · on the registry since 2018

Practice

Address
6200 Sw Arctic Dr
Beaverton, OR 97005
Phone
(503) 224-2184
Clinicians at this address
231

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-01-08
Status
Not present in the most recent federal file

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