Ellis, Sunny

Ellis, Sunny is an individual health care provider with primary practice located at 129 Ne 102Nd Ave Ste E, Portland OR 97220-4102. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Ellis, Sunny can be contacted via phone (360) 571-2432.

Contact Information

Primary practice address
129 Ne 102Nd Ave Ste E Portland OR 97220-4102
Phone: (360) 571-2432
Fax: (360) 836-8131
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1457722647
LBN Legal business name Ellis, Sunny
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2015
Last updated Oct 13th, 2015 - about 11 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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