Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew P Ellis, PHD

Individual provider Clinical Neuropsychologist · NPI 1730283813

Andrew P Ellis, PHD is a Clinical Psychologist in Portland, Oregon. Qualified in 1997, 29 years ago. Practices with Brain Rehab Network Oregon Inc, a 12-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
29
Licensed in
OR
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1815 SW Marlow Ste 110
Portland, OR 97225-5185
Phone: (503) 292-0765
Fax: (503) 292-5208
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 1396 (OR)

Record details

NPI number1730283813
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedSeptember 11, 2006
Last updated in NPPESDecember 15, 2021
Certification dateDecember 15, 2021
Mailing address7204 Sw Durham Rd, Ste 100, Portland, OR 97224-7574

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Brain Rehab Network Oregon Inc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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