Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRANDON ELLIS, LMT
Active Sole ProprietorMR. BRANDON ELLIS, LMT is a Specialist healthcare provider located in PORTLAND, Oregon. NPI 1205001526 is currently active in the NPPES registry. Verify at CMS.
Specialist · PORTLAND, OR
Registration Details
- NPI Number
- 1205001526
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 28, 2008 (18.334580919645 yrs)
- Last Updated
- Apr 28, 2008
- License
-
12645 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7085 N CAMBRIDGE AVEPORTLAND, OR, 972034715Browse OR providers · Browse ZIP 97203
- Phone
- 5032856320
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| DR. NATE D QUILICI | M.D. | 1326041526 |
| DR. DARYL A. ADAMSON | MD | 1366445868 |
| DR. CHARLES L COLIP | MD | 1194729798 |
| DR. NESHE E. NORTH | M.D. | 1649275694 |
| DR. WILLIAM C SCHLIPPERT | MD | 1700883386 |
| MICHAEL BRUCE WYMAN | M.D. | 1104824648 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.