Ellenburg, Taylor
Ellenburg, Taylor is an individual health care provider with primary practice located at 850 Sw 4Th St , Madras OR 97741-9628. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Ellenburg, Taylor can be contacted via phone (541) 475-6575.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | THW000106409 | Oregon |
Profile Details
| NPI number | 1457095440 |
|---|---|
| LBN Legal business name | Ellenburg, Taylor |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2022 |
| Last updated | Apr 25th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457095440 | NPPES |
| Oregon | Other | THW000106409 | PEER SUPPORT |
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