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SAMANTHA MICHELLE ELLIS BA
NPI 1841652567
Peer Specialist in Milwaukie, OR

Active since March 22, 2016
11097 SE 21ST AVE, MILWAUKIE, OR 97222(971) 401-0364 Get Directions Write a Review

NPPES record last updated: December 7, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 7, 2018, Mar 22, 2016 (2 updates tracked since 2016).

About Samantha Michelle Ellis Ba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA MICHELLE ELLIS BA (NPI 1841652567) is an individual peer specialist in Milwaukie, Oregon, licensed in Oregon (THW000002555) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1841652567
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameSAMANTHA MICHELLE ELLISCredential: BA
Location Address11097 SE 21ST AVEMilwaukie, OR 97222-7640
Mailing Address11097 Se 21st AveMilwaukie, OR 97222-7640 · (971) 401-0364
Phone(971) 401-0364
Sole ProprietorYes
Enumeration DateMarch 22, 2016
Last NPPES UpdateDecember 7, 20182 updates tracked since enumeration
✔ NPI 1841652567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OR · THW000002555
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedSocial WorkerTaxonomy 104100000X · License CG 60478731 (WA)
11097 SE 21ST AVE, Milwaukie, OR 97222
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIELLA MANDUJANO
Peer Specialist
11097 SE 21ST AVE
MILWAUKIE, OR 97222
Clackamas County (503) 974-9025
AMANDA WILLARD
Peer Specialist
11097 SE 21ST AVE
MILWAUKIE, OR 97222
Clackamas County (971) 803-8055
SOLMAIRA TRUJILLO
Peer Specialist
11097 SE 21ST AVE
MILWAUKIE, OR 97222
Clackamas County (458) 201-2579
DIEUSON ALIX
Peer Specialist
11097 SE 21ST AVE
MILWAUKIE, OR 97222
Clackamas County (971) 334-9295
DARRIN HERNANDEZ
Peer Specialist
11097 SE 21ST AVE
MILWAUKIE, OR 97222
Clackamas County (458) 201-2754
ARMIN TRUJILLO II
Peer Specialist
11097 SE 21ST AVE
PORTLAND, OR 97222
Clackamas County (541) 521-0043
ARIELLE MORTENSEN
Peer Specialist
11097 SE 21ST AVE
MILWAUKIE, OR 97222
Clackamas County (971) 271-0891

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Ellis's NPI number?

The NPI number for Samantha Ellis is 1841652567. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Where is Samantha Ellis located?

Samantha Ellis practices at 11097 SE 21st Ave, Milwaukie, OR 97222. The listed phone number is (971) 401-0364.

What is Samantha Ellis's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Samantha Ellis was last updated on December 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.