Individual
DR. MADELYNN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
5811 BAY POINT DR, LAKE OSWEGO, OR 97035-6798
(503) 713-8183
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OR
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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