Ellis, Abigail D

Ellis, Abigail D is an individual health care provider with primary practice located at 380 S Holly St , Canby OR 97013-4150. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Ellis, Abigail D can be contacted via phone (971) 270-7691.

Contact Information

Primary practice address
380 S Holly St Canby OR 97013-4150
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X H6604 Oregon

Profile Details

NPI number 1043645237
LBN Legal business name Ellis, Abigail D
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2013
Last updated Sep 6th, 2013 - about 12 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.

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