NPI 1003703406

Kayla Ellis, DDS

Practitioner General Practice Dentistry Portland, OR

Practice location

Address: 1710 NE 122nd Ave, Portland, OR 97230-1939
Phone: (503) 295-2120
Mailing address: 514 SE Belmont St APT 501, Portland, OR 97214-4686

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence D12194 (OR)

Other Dentist providers in Oregon →

Registry record

NPI: 1003703406
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Jun 2025
Record last updated: 19 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.