MR. BRANDON ELLIS, LMT

Specialist

Active Individual
NPI: 1205001526

Practice Address

7085 N CAMBRIDGE AVE
Portland, OR 97203

Phone: (503) 285-6320

Specialties

Specialty Code Primary License
Specialist 174400000X Yes 12645 (OR)

Frequently Asked Questions

NPI 1205001526 is the National Provider Identifier for MR. BRANDON ELLIS, LMT, a Specialist provider located in Portland, OR. This NPI was enumerated on April 28, 2008.
MR. BRANDON ELLIS, LMT practices at 7085 N CAMBRIDGE AVE, Portland, OR 97203.

Quick Facts

NPI
1205001526
Type
Individual
Enumerated
Apr 28, 2008
Last Updated
Apr 28, 2008

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