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DR. RANDY LEE ELLERBROOK M.D.
NPI 1063584217
Internal Medicine in Portland, OR

Active since November 14, 2006
9155 SW BARNES RD, SUITE 205, PORTLAND, OR 97225(503) 297-5581(503) 297-1421 Get Directions Write a Review

NPPES record last updated: May 27, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Randy Lee Ellerbrook M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RANDY LEE ELLERBROOK M.D. (NPI 1063584217) is an individual internal medicine provider in Portland, Oregon, licensed in Oregon (MD08564) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1063584217
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. RANDY LEE ELLERBROOKCredential: M.D.
Location Address9155 SW BARNES RD, SUITE 205Portland, OR 97225-6625
Mailing Address9155 Sw Barnes Rd, Suite 230Portland, OR 97225-6625 · (503) 445-3235 · Fax (503) 790-2293
Phone(503) 297-5581
Fax(503) 297-1421
Sole ProprietorNo
Enumeration DateNovember 14, 2006
Last NPPES UpdateMay 27, 2008
✔ NPI 1063584217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OR · MD08564
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

9155 SW BARNES RD, Portland, OR 97225
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Other Identifiers 5

Medicare UPINC92574OR
Other003335013OR · Regence Blue Cross Of Or
Medicaid055715OR
Other110104202OR · Railroad Medicare/palmett
Medicare ID-Type Unspecified00WCRCYAOR

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SARAH R ZWEBER M.D.
Internal Medicine
9155 SW BARNES RD, STE 205
PORTLAND, OR 97225
Washington County (503) 297-5581
PROVIDENCE HEALTH & SERVICES - OREGON
Psychiatry & Neurology (Psychiatry)
9155 SW BARNES RD, STE 333
PORTLAND, OR 97225
Washington County (503) 216-5102
DR. DALE MICHAEL WILLIS M.D.
Pediatrics (Pediatric Endocrinology)
9155 SW BARNES RD, SUITE 931
PORTLAND, OR 97225
Washington County (503) 216-6050
THOMAS LORISH MD
Physical Medicine & Rehabilitation
9155 SW BARNES RD, #440
PORTLAND, OR 97225
Washington County (503) 216-7145
HEARING HEALTHCARE PROFESSIONALS OF OREGON, LLC
Audiologist-Hearing Aid Fitter
9155 SW BARNES RD, STE 401
PORTLAND, OR 97225
Washington County (503) 297-1600
FARZAD KAHNAMELLI PHARM.D.
Pharmacist
9155 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-6043
DR. CINDY M. REUTER ND, LAC, RD
Naturopath
9155 SW BARNES RD, SUITE 331
PORTLAND, OR 97225
Washington County (503) 216-0246
ASHLEIGH B CONNELL MA, CCC-SLP
Speech-Language Pathologist
9155 SW BARNES RD, CHILDREN'S DEVELOPMENT INSTITUTE, EAST PAVILION
PORTLAND, OR 97225
Washington County (503) 216-8272

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randy Ellerbrook's NPI number?

The NPI number for Randy Ellerbrook is 1063584217. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Where is Randy Ellerbrook located?

Randy Ellerbrook practices at 9155 SW Barnes Rd Suite 205, Portland, OR 97225. The listed phone number is (503) 297-5581.

What is Randy Ellerbrook's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Randy Ellerbrook was last updated on May 27, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.