IndividualActive
Miles Ellenby, MD
NPI 1780692210 · Pediatric Critical Care Medicine Physician · Portland, OR
Provider details
- NPI number
- 1780692210
- Entity type
- Individual
- Primary specialty
- Pediatric Critical Care Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD22157 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3181 Sw Sam Jackson Park Rd
Doernbecher Children'S Hospital Pediatric Icu
Portland, OR 97239-3011
Phone: (503) 418-5800
Fax: (503) 418-5804
Approximate (ZIP-level) locationGet directions
Mailing address
707 Sw Gaines St
Portland, OR 97239-2901
Registry dates
- Enumerated
- 2006-08-03
- Last updated
- 2007-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.