IndividualActive
Andrew Ellis, PHD
NPI 1730283813 · Clinical Neuropsychologist · Portland, OR
Provider details
- NPI number
- 1730283813
- Entity type
- Individual
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- No
- License
- 1396 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1815 Sw Marlow
Suite 110
Portland, OR 97225-5185
Phone: (503) 292-0765
Fax: (503) 292-5208
Street-level locationGet directions
Mailing address
7204 Sw Durham Rd
Portland, OR 97224-7574
Registry dates
- Enumerated
- 2006-09-11
- Last updated
- 2021-12-15
- Certified
- 2021-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.