Ellis, Brandon
Ellis, Brandon is an sole proprietor health care provider with primary practice located at 7085 N Cambridge Ave , Portland OR 97203-4715. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Ellis, Brandon can be contacted via phone (503) 285-6320.Contact Information
Primary practice address
7085 N Cambridge Ave
Portland OR 97203-4715
Phone: (503) 285-6320
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 12645 | Oregon |
Profile Details
| NPI number | 1205001526 |
|---|---|
| LBN Legal business name | Ellis, Brandon |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 28th, 2008 |
| Last updated | Apr 28th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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