Individual
JAMES TIMOTHY ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
501 N GRAHAM ST STE 555, PORTLAND, OR 97227-2007
(503) 288-7535
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
DO225069
OR
Other
Enumeration date
04/18/2019
Last updated
08/04/2025
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