Ellefson, Samantha

Ellefson, Samantha is an sole proprietor health care provider with primary practice located at 3181 S.W. Sam Jackson Park Rd Mail Code: Uhs 18, Portland OR 97239-3098. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Ellefson, Samantha can be contacted via phone (503) 418-5257.

Contact Information

Primary practice address
3181 S.W. Sam Jackson Park Rd Mail Code: Uhs 18 Portland OR 97239-3098
Phone: (503) 418-5257
Fax: (503) 418-5317
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X LD003133 Georgia
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X LD-D-10159207 Oregon

Profile Details

NPI number 1902149750
LBN Legal business name Ellefson, Samantha
Credentials RD LD CSP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2013
Last updated Dec 12th, 2013 - about 13 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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