| Ellie Mental Health | |
|
418 Beavercreek Rd Ste 102 Oregon City OR 97045-4287 | |
| (971) 203-0683 | |
| (503) 212-0174 |
| Full Name | Ellie Mental Health |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 418 Beavercreek Rd Ste 102, Oregon City, Oregon |
| Authorized Official Name and Position | Catherine Ross Caruso (CLINIC DIRECTOR) |
| Authorized Official Contact | 2017412071 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellie Mental Health 418 Beavercreek Rd Ste 102 Oregon City OR 97045-4287 Ph: (971) 203-0683 | Ellie Mental Health 418 Beavercreek Rd Ste 102 Oregon City OR 97045-4287 Ph: (971) 203-0683 |
| NPI Number | 1902644560 |
|---|---|
| Provider Enumeration Date | 07/17/2024 |
| Last Update Date | 11/04/2024 |
| Certification Date | 10/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902644560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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