Individual
KAYLA ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1710 NE 122ND AVE, PORTLAND, OR 97230-1939
(503) 295-2120
Mailing address
514 SE BELMONT ST APT 501, PORTLAND, OR 97214-4686
(248) 595-3635
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12194
OR
Other
Enumeration date
06/19/2025
Last updated
06/19/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us