Search › Oregon › 171100000X
Justin Ilsley, ND
NPI 1477666907 · on the registry since 2006 · sole proprietor
Practice
- Address
- 4631 N Albina Ave
Portland, OR 97217 - Phone
- (503) 282-5358
- Fax
- (503) 735-3777
- Organisation at this address
- Mississippi Health Center Medicinay Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Also registered as
- 175F00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-11
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