Individual provider · Type 1 NPI

Amber Ellis

Student in an Organized Health Care Education/Training Program · Portland, OR

NPI number 1689560153 Active

Practice location

2730 SW Moody Avenue
Portland, OR 97201

Call (503) 494-3633 Map

Mailing address

2730 S Moody Ave
Portland, OR 97201-5042

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1689560153

Amber Ellis's National Provider Identifier is 1689560153, issued on Jun 13, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, OR. The record was last updated on Jun 13, 2025.