Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669006227 Individual Practitioner Female Practitioner

Dr. Ellory Abbott Busch , DDS

Dentist - General Practice • Hillsboro, OR

Professional Overview & Biography Verified Profile Summary

Dr. Ellory Busch, DDS is a registered healthcare professional specializing in Dentist - General Practice in Hillsboro, OR. Practice services are available at 10690 NE CORNELL RD STE 220 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10690 Ne Cornell Rd Ste 220

Hillsboro, OR 971249224

Telephone 5038485861
Associated Practice Facility / Clinic
🏢 Neighborhood Health Center Facility NPI 1164793469

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Hillsboro, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
66 Specialists

Practicing in Hillsboro, OR (1994 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-03-15
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OR D11437

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License MN D14392

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Timothy Kruth , NP

Nurse Practitioner - Family

NPI 1033481320

Nurse Practitioner

Mahkameh Mehdianrad , PA

Physician Assistant

NPI 1043530348

Physician Assistant

Dr. Ann Tseng , MD

Family Medicine

NPI 1063519833

Doctor of Medicine (M.D.)

Yaritza Santoyo , CHW

Community Health Worker

NPI 1073242954
Dr. Craig Leadbetter , PharmD

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1093298895

Doctor of Pharmacy (Pharm.D.)

Edgar Garcia

Physician Assistant

NPI 1104587229

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Business Mailing Address March 15, 2026

Registered at 7320 SW HUNZIKER RD STE 300, PORTLAND, OR 972232302 (Tel: 5039413118)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2026

Dentist (License #D11437 in OR)

📍
Updated Practice Location September 23, 2021

Registered at 10690 NE CORNELL RD STE 220, HILLSBORO, OR 971249224 (Tel: 5038485861)

📍
Updated Business Mailing Address September 23, 2021

Registered at 10690 NE CORNELL RD STE 220, HILLSBORO, OR 971249224 (Tel: 5038485861)

📍
Updated Practice Location August 02, 2021

Registered at 973 SKYLINE DR SW, ROCHESTER, MN 559021220 (Tel: 5074241040)

👤
Provider Name / Credentials Updated August 02, 2021

Recorded as ELLORY BUSCH, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2021

Dentist (License #D14392 in MN)

NPI Profile Active February 23, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location February 23, 2020

Registered at 2442 MOUNDS VIEW BLVD, SAINT PAUL, MN 551121478 (Tel: 7633165400)

📍
Updated Business Mailing Address February 23, 2020

Registered at 1400 ALDRICH CT, FARIBAULT, MN 550217044 (Tel: 5072107571)

👤
Provider Name / Credentials Updated February 23, 2020

Recorded as ELLORY BUSCH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration February 23, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669006227
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 23, 2020
Last Update: March 15, 2026
Sole Proprietor: Yes

Mailing Address

7320 Sw Hunziker Rd Ste 300

Portland, OR 972232302

Phone: 5039413118

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.