Kayla Ellis, DDS

NPI #1003703406 in Portland, Oregon

Provider Information

NPI Number: 1003703406
Entity Type: Individual
Name: Kayla Ellis, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jun 19, 2025
Last Updated: Jun 19, 2025

Practice Location

Address: 1710 NE 122ND AVE
City: Portland
State: Oregon
ZIP Code: 97230-1939
Phone: (503) 295-2120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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