NPI 1942218276 · live from the CMS NPI Registry
Jonathan Stuart Alexander, M.D.
Dermatology in Portland, OR. National Provider Identifier 1942218276, active.
NPI record
| NPI | 1942218276 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 1414 Nw Northrup St Ste 600, Portland, OR 97209 |
| Practice phone | 503-223-3104 |
| Mailing address | 541 Ne 20th Ave Ste 225, Portland, OR 97232 |
| Enumerated | August 3, 2006 |
| Last updated | November 21, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | MD24307 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.