Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

EVAN EUGENE ELLIS PCA
NPI 1164332201
Counselor - Mental Health in Portland, OR

Q: What is Evan Ellis's NPI number?

The NPI number for Evan Ellis is 1164332201. It was assigned to this individual provider in the NPPES registry on September 10, 2026.

Q: What is Evan Ellis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Evan Ellis was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 10, 2026

7400 SE MILWAUKIE AVE APT 401, PORTLAND, OR 97202(562) 972-0911 Get Directions Write a Review

NPPES record added: September 10, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

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About Evan Eugene Ellis Pca NPPES

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

EVAN EUGENE ELLIS PCA (NPI 1164332201) is an individual mental health provider in Portland, Oregon, licensed in Oregon (R10040) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1164332201

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameEVAN EUGENE ELLISCredential: PCA

Location Address7400 SE MILWAUKIE AVE APT 401Portland, OR 97202-6171

Mailing Address7400 Se Milwaukie Ave Apt 401Portland, OR 97202-6171 · (562) 972-0911

Phone(562) 972-0911

Sole ProprietorYes

Enumeration DateSeptember 10, 2026

NPPES CertifiedSeptember 10, 2026

✔ NPI 1164332201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in OR · R10040

7400 SE MILWAUKIE AVE APT 401, Portland, OR 97202

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Evan Ellis's NPI number?

The NPI number for Evan Ellis is 1164332201. It was assigned to this individual provider in the NPPES registry on September 10, 2026.

Where is Evan Ellis located?

Evan Ellis practices at 7400 SE Milwaukie Ave Apt 401, Portland, OR 97202. The listed phone number is (562) 972-0911.

What is Evan Ellis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Evan Ellis was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.