Individual
ELLORY ABBOTT BUSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
10690 NE CORNELL RD STE 220, HILLSBORO, OR 97124-9224
(503) 848-5861
Mailing address
7320 SW HUNZIKER RD STE 300, PORTLAND, OR 97223-2302
(503) 941-3118
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11437
OR
1223G0001X
General Practice Dentistry
D14392
MN
Other
Enumeration date
02/23/2020
Last updated
03/15/2026
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