Individual
DAVID ANDREW ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9155 SW BARNES RD STE 302, PORTLAND, OR 97225-6630
(503) 866-8670
Mailing address
3181 SW SAM JACKSON PARK RD, L-579, PORTLAND, OR 97239-3011
(503) 494-8211
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
PG189585
OR
Other
Enumeration date
03/29/2016
Last updated
05/21/2019
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