Autumn M Ellis in Vancouver - Addiction (substance Use Disorder)

Autumn M Ellis - NPI 1356403901

Autumn M Ellis is a Addiction (substance Use Disorder) in Vancouver, Washington. Autumn M Ellis practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Autumn M Ellis is 1356403901. The last update date is 2007-07-08.

Autumn M Ellis's current location address is Po Box 1337, Vancouver, Washington. You can contact this provider via phone number 3609933000 and fax number 3609933047. The mailing address for Autumn M Ellis is Po Box 1337, Vancouver, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Autumn M Ellis
Address Po Box 1337, Vancouver, Washington
Phone Number 3609933000
Fax Number 3609933047
Sole Proprietor N
Credentials CDP

NPI Number Detail

NPI Number 1356403901
Provider Enumeration Date 2006-12-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 1337
City Vancouver
State Washington (WA)
Post Code 986661337
Phone Number 3609933000
Fax Number 3609933047

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No CP00003931
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Autumn M Ellis

What is the unique 10-digit identification code assigned to Autumn M Ellis by the Centers for Medicare & Medicaid Services?

The Autumn M Ellis has been issued the NPI (National Provider Identifier) 1356403901, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Autumn M Ellis's physical address?

The Autumn M Ellis is physically located at Po Box 1337, in the city of Vancouver, WA, with the postal code 986661337.

What is Autumn M Ellis's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Autumn M Ellis is Addiction (substance Use Disorder), and the taxonomy classification code that categorizes this area of expertise is 101Ya0400X.

On what date did Autumn M Ellis receive its 1356403901 assignment from the Centers for Medicare & Medicaid Services?

The Autumn M Ellis was assigned its 1356403901 on 2006-12-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Autumn M Ellis, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Autumn M Ellis, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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