Carilyn C Ellis (NPI# 1962888388, PAC ID# 9931401684) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1962888388 |
| PAC ID by PECOS | 9931401684 |
| Professional Enrollment ID | I20160112001822 |
| Full Name | Carilyn C Ellis |
| Address |
3857 Wolverine Dr Ne Bldg C Suite 6 Salem OR 97305 |
| Phone Number | 5038566430 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3857 Wolverine Dr Ne, Bldg C Suite 6, Salem, OR 97305 | 5038566430 |
| Street Address |
3857 WOLVERINE DR NE BLDG C SUITE 6 |
| City | SALEM |
| State | OR |
| Zip | 97305 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randy Edward Lerner | Audiologist | Salem Audiology Clinic Inc | 3857 16c Wolverine Ne, Salem, OR 97305 |
| Christopher T Stevenson | Chiropractic | 1880 Lancaster Dr Ne, Suite 107, Salem, OR 97305-1065 | |
| Jason A Holt | Chiropractic | Christopher T Stevenson | 1880 Lancaster Dr Ne, Salem, OR 97305-1065 |
| Juan Castillo | Nurse Practitioner | 1880 Lancaster Dr Ne, Suite 119, Salem, OR 97305-1068 | |
| Philippe Champagne | Internal Medicine | Chemawa Indian Health Center Dhhs Ihs Western Oregon Serv Unit | 3750 Chemawa Rd Ne, Chemawa Indian Health Center, Salem, OR 97305-1119 |
| Pamela G Witherspoon | Family Medicine | Chemawa Indian Health Center Dhhs Ihs Western Oregon Serv Unit | 3750 Chemawa Rd Ne, Chemawa Indian Health Center, Salem, OR 97305-1119 |
| Donald R Asay | Optometry | Chemawa Indian Health Center Dhhs Ihs Western Oregon Serv Unit | 3750 Chemawa Rd Ne, Chemawa Indian Health Center, Salem, OR 97305-1119 |
| Ryan C Johnson | Nurse Practitioner | Chemawa Indian Health Center Dhhs Ihs Western Oregon Serv Unit | 3750 Chemawa Rd Ne, Chemawa Indian Health Center, Salem, OR 97305-1119 |
| Lydia Alvarez | Nurse Practitioner | Chemawa Indian Health Center Dhhs Ihs Western Oregon Serv Unit | 3750 Chemawa Rd Ne, Chemawa Indian Health Center, Salem, OR 97305-1119 |
| Ahmed H Mohammed | Internal Medicine | Chemawa Indian Health Center Dhhs Ihs Western Oregon Serv Unit | 3750 Chemawa Rd Ne, Chemawa Indian Health Center, Salem, OR 97305-1119 |
| Find all physicians in zip 97305 | |||
| City | SALEM |
| Zip Code | 97305 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | SALEM + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Carilyn C Ellis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.