Klopp, Ellie

Klopp, Ellie is an individual health care provider with primary practice located at 410 N 9Th St , Cottage Grove OR 97424-1307. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Klopp, Ellie can be contacted via phone (541) 942-2850.

Contact Information

Primary practice address
410 N 9Th St Cottage Grove OR 97424-1307
Phone: (541) 942-2850
Fax: (541) 942-1574
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1326107756
LBN Legal business name Klopp, Ellie
Credentials QMHP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated Jul 9th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1326107756 NPPES
Oregon MEDICAID 019047

Popular Providers