AMBER ELLIS - NPI 1689560153 - Student in an Organized Health Care Education/Training Program in Portland, OR

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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About Amber Ellis NPPES

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

AMBER ELLIS (NPI 1689560153) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1689560153

Entity TypeIndividual

Primary Taxonomy390200000X

Provider Legal NameAMBER ELLIS

Location Address2730 SW MOODY AVENUEPortland, OR 97201

Mailing Address2730 S Moody AvePortland, OR 97201-5042 · (503) 494-3633

Phone(503) 494-3633

Sole ProprietorNo

Enumeration DateJune 13, 2025

NPPES CertifiedJune 12, 2025

✔ NPI 1689560153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2730 SW MOODY AVENUE, Portland, OR 97201

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