ANDREW P ELLIS (NPI# 1730283813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730283813 |
| Entity Type | Individual |
| Full Name | ANDREW P ELLIS |
| Credential | PHD |
| Practice Address |
1815 Sw Marlow Suite 110 Portland OR 97225-5185 |
| Practice Telephone | 5032920765 |
| Practice Fax Number | 5032925208 |
| Mailing Telephone | 5032920765 |
| Mailing Fax Number | 5032925208 |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 1396 | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508224445 | Andrew Carl Ellis | Physician Assistant | Naval Medical Center, 100 Brewster Blvd, Camp Lejeune, NC 28547-2538 | 2016-02-07 |
| 1881006435 | Andrew James Ellis | Pediatrics | 705 Riley Hospital Dr, Ri 3004, Indianapolis, IN 46202-5109 | 2014-05-29 |
| 1568710820 | Andrew W Ellis | Student in an Organized Health Care Education/Training Program | 151 Bodin Cir, Travis Afb, CA 94535-1801 | 2012-08-16 |
| 1760775316 | Andrew Ellis | Technician, Other | 4801 Reading St, Dallas, TX 75247-6716 | 2011-05-16 |
| 1588995096 | Andrew Ellis | Surgery | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2010-01-22 |
| Street Address |
1815 SW MARLOW SUITE 110 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225-5185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275637266 | Mary Ann Green | Occupational Therapy Assistant | 1815 Sw Marlow, Suite 110, Portland, OR 97225-5185 | 2006-09-11 |
| 1447482385 | Jennifer Rhae Haunold | Physical Therapist | 1815 Sw Marlow, Ste 110, Portland, OR 97225-5185 | 2009-08-11 |
| 1235331737 | Christopher Huffine Psyd | Counselor | 1815 Sw Marlow, Suite 208, Portland, OR 97225 | 2007-06-05 |
| 1114129137 | Christopher Huffine | Psychologist | 1815 Sw Marlow, Ste 208, Portland, OR 97225 | 2007-06-01 |
| 1568551299 | Alana Christine Raber | Psychologist | 1815 Sw Marlow, Ste 110, Portland, OR 97225-5185 | 2006-10-12 |
| 1043317142 | Linda S Porter | Registered Nurse | 1815 Sw Marlow, Suite 110, Portland, OR 97225-5185 | 2006-09-20 |
| 1184728172 | Debbie Kay Dodge | Occupational Therapist | 1815 Sw Marlow, Suite 110, Portland, OR 97225-5185 | 2006-09-11 |
| 1568566651 | Mary Patricia Daly | Speech-Language Pathologist | 1815 Sw Marlow, Suite 110, Portland, OR 97225-5185 | 2006-09-11 |
| 1912001009 | Kathryn De Domingo | Speech-Language Pathologist | 1815 Sw Marlow, Suite 110, Portland, OR 97225-5185 | 2006-09-11 |
| 1447354527 | Michelle Ann Kinsella | Occupational Therapist | 1815 Sw Marlow, Suite 110, Portland, OR 97225-5185 | 2006-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508425034 | Gabrielle Gonzales | Behavior Technician | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 | 2019-06-08 |
| 1558844555 | Tate Roseberry | Behavior Technician | 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 | 2018-09-14 |
| 1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
| 1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1841733433 | Tia Pugh | Occupational Therapist | 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 | 2016-11-30 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1962866244 | Bejian Shamloo | Chiropractor | 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 | 2016-04-12 |
| 1992162630 | Robert Joseph Yoder | Psychologist | 9045 Barnes Rd, Portland, OR 97225 | 2016-01-26 |
| 1316303951 | Katie Herold | Chiropractor | 9315 Sw Morrison St, Portland, OR 97225 | 2016-01-12 |
| Find all providers in zip 97225 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801098090 | Nancy Loss | Clinical Neuropsychologist | 2223 Ne 47th Avenue, Portland, OR 97213 | 2007-06-01 |
| 1346457017 | Mark Gregory Kiefner | Clinical Neuropsychologist | 26 Portland Street, Portland, ME 04101 | 2007-05-16 |
| 1184774937 | Melvyn E Attfield | Clinical Neuropsychologist | 225 Commercial Street, Suite #303, Portland, ME 04101 | 2007-01-12 |
| 1437215712 | Patrice Deidre Carrello | Clinical Neuropsychologist | 2354 Se 59th Ave, Portland, OR 97215-4018 | 2006-12-29 |
| 1386722247 | Donald Edward Lange | Clinical Neuropsychologist | 8040 Sw Capitol Hill Rd, Portland, OR 97219-2670 | 2006-11-01 |
| 1497831713 | James (jim) Charles Johnson | Clinical Neuropsychologist | 516 Se 71st Ave, Portland, OR 97215-2132 | 2006-10-29 |
| 1245327501 | Julia Ann Wong-ngan | Clinical Neuropsychologist | 205 Se Spokane St Ste 300, Portland, OR 97202-6487 | 2006-10-06 |
| 1295820389 | Nadia E. Webb | Clinical Neuropsychologist | 1631 Ne Broadway Street. No. 237, Portland, OR 97232 | 2006-10-04 |
| 1720094477 | Thomas G Miller | Clinical Neuropsychologist | 86 Dartmouth St, Portland, ME 04103-4808 | 2006-08-01 |
| 1811923246 | Dawn Wilkinson | Clinical Neuropsychologist | 458 N Broadway, Suite B, Portland, TN 37148-1767 | 2006-06-25 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.