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Search › Oregon › General Practice Dentistry

Kayla Ellis, DDS

NPI 1003703406 · on the registry since 2025 · sole proprietor

Practice

Address
1710 Ne 122nd Ave
Portland, OR 97230
Phone
(503) 295-2120
Organisation at this address
Russell Modern Dentistry, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-06-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon