Individual provider · Type 1 NPI

Miles Steven Ellenby, MD

Pediatric Critical Care Medicine Physician · Portland, OR

NPI number 1780692210 Active

Practice location

3181 SW Sam Jackson Park Rd, Doernbecher Children's Hospital Pediatric Icu
Portland, OR 97239-3011

Call (503) 418-5800 Map

Fax (503) 418-5804

Mailing address

707 SW Gaines St, Mail Code Cdrc-P
Portland, OR 97239-2901

Specialties and licenses

TaxonomyCodeLicense
Pediatric Critical Care Medicine Physician Primary 2080P0203XMD22157 (OR)

Pediatric Critical Care Medicine Physician: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates…

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About NPI 1780692210

Miles Steven Ellenby, MD's National Provider Identifier is 1780692210, issued on Aug 3, 2006. The primary taxonomy on file is Pediatric Critical Care Medicine Physician (2080P0203X), and the practice location is in Portland, OR. The record was last updated on Jul 14, 2007.