NPI 1861636003 · live from the CMS NPI Registry
Angela Ethridge Alday, M.D.
Internal Medicine in Portland, OR. National Provider Identifier 1861636003, active.
NPI record
| NPI | 1861636003 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 3181 Sw Sam Jackson Park Rd # Bte119, Portland, OR 97239 |
| Practice phone | 503-494-1164 |
| Enumerated | April 30, 2009 |
| Last updated | April 11, 2018 |
| Sole proprietor | Yes |
| Other names | Angela Ethridge |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Internal Medicine primary | 207R00000X | MD157915 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.