- Practice location
- 3303 SW Bond Ave # Ch5e, Portland, OR 97239-3098
- Phone
- 503-494-5678
- Fax
- 503-494-4631
- Last updated
- October 16, 2021
Jeremiah Andrew Alt is an Otolaryngology based in Portland, OR. Jeremiah Andrew Alt practices in Portland, OR and has the professional credentials of MD, PHD. The NPI Number for Jeremiah Andrew Alt is 1598968380 and holds a License No. TRN11153 (FL). The current practice location address for Jeremiah Andrew Alt is 3303 SW Bond Ave # Ch5e, Portland, OR 97239-3098 and can be reached out via phone at 503-494-5678 and via fax at 503-494-4631.
Provider Profile Details
- NPI Number
- 1598968380
- Provider Name
- Jeremiah Andrew Alt
- Credential
- MD, PHD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 3303 SW Bond Ave # Ch5e, Portland, OR 97239-3098
- Phone Number
- 503-494-5678
- Fax Number
- 503-494-4631
- Primary Taxonomy
- Otolaryngology · 207Y00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 7, 2007
- Last Update Date
- October 16, 2021
- Certification Date
- October 16, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3303 SW Bond Ave # Ch5e
Portland, OR 97239-3098 - City
- Portland
- State
- Oregon
- Zip
- 97239-3098
- Phone Number
- 503-494-5678
- Fax Number
- 503-494-4631
Provider Business Mailing Address Details
- Address
- 3303 SW Bond Ave # Ch5e
Portland, OR 97239-3098 - City
- Portland
- State
- OR
- Zip
- 97239-3098
- Phone Number
- 503-494-5678
- Fax Number
- 503-494-4631
License Information
- License Number (1)
- TRN11153
- License State (1)
- FL
- Taxonomy (1)
- Surgery · 208600000X
- License Number (2)
- MD156611
- License State (2)
- OR
- Taxonomy (2)
- Otolaryngology · 207Y00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jeremiah A Alt, MD, PHD?
The NPI number of Jeremiah A Alt, MD, PHD is 1598968380. It was assigned on June 7, 2007 and is currently active in the NPPES registry.
What is the specialty of Jeremiah A Alt, MD, PHD?
Jeremiah A Alt, MD, PHD is registered under the primary taxonomy Otolaryngology (code 207Y00000X), licensed in FL under license number TRN11153.
Where does Jeremiah A Alt, MD, PHD practice?
The practice location is 3303 SW Bond Ave # Ch5e, Portland, OR 97239-3098. The office can be reached at 503-494-5678 (phone) or 503-494-4631 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1598968380 directly on the NPPES registry website.