Healthcare Provider Details

I. General information

NPI: 1982954632
Provider Name (Legal Business Name): ELLEN LINNEA DAVIS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELLEN LINNEA TOPNESS LPC

II. Dates (important events)

Enumeration Date: 09/10/2012
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 SNELL HALL
CORVALLIS OR
97331-8593
US

IV. Provider business mailing address

500 SNELL HALL
CORVALLIS OR
97331-8593
US

V. Phone/Fax

Practice location:
  • Phone: 541-737-2131
  • Fax:
Mailing address:
  • Phone: 541-737-2131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC3785
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: