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Brandon Ellis, LMT

NPI 1205001526 · on the registry since 2008 · sole proprietor

Practice

Address
7085 N Cambridge Ave
Portland, OR 97203
Phone
(503) 285-6320

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-04-28

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