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

Dr. Randy Lee Ellerbrook, MD

Individual provider Internal Medicine Physician · NPI 1063584217

Dr. Randy Lee Ellerbrook, MD is an Internal Medicine Physician in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

9155 SW Barnes Rd Ste 205
Portland, OR 97225-6625
Phone: (503) 297-5581
Fax: (503) 297-1421
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD08564 (OR)

Record details

NPI number1063584217
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 14, 2006
Last updated in NPPESMay 27, 2008

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