Individual
BRNJAMIN ELLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16365 NW TWIN OAKS DR, STE 200, BEAVERTON, OR 97006
(503) 828-3042
Mailing address
16365 NW TWIN OAKS DR, STE 200, BEAVERTON, OR 97006
(503) 828-3042
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OR
Other
Enumeration date
07/29/2026
Last updated
07/29/2026
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