IndividualActive
David Ellison, MD
NPI 1346337391 · Nephrology Physician · Portland, OR
Provider details
- NPI number
- 1346337391
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD11737 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3181 Sw Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-3442
Approximate (ZIP-level) locationGet directions
Mailing address
3502 Sw Jerald Ct
Portland, OR 97221-4046
Registry dates
- Enumerated
- 2006-10-09
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.