Ellis, Susan
Ellis, Susan is an individual health care provider with primary practice located at 1937 W Harvard Ave , Roseburg OR 97471-2720. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Ellis, Susan can be contacted via phone (541) 677-7200.Contact Information
Primary practice address
1937 W Harvard Ave
Roseburg OR 97471-2720
Phone: (541) 677-7200
Fax: (541) 229-3309
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 202114835NP-PP | Oregon |
Profile Details
| NPI number | 1750706800 |
|---|---|
| LBN Legal business name | Ellis, Susan |
| Credentials | PMHNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 26th, 2014 |
| Last updated | Dec 28th, 2021 - 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.
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