person
Alvin Annen, MDSTUDENT
Student in an Organized Health Care Education/Training Program in Portland, Oregon
NPI 1699286468

Alvin Annen is a Student in an Organized Health Care Education/Training Program based in Portland, OR. Alvin Annen practices in Portland, OR and has the professional credentials of MDSTUDENT. The NPI Number for Alvin Annen is 1699286468 and holds a License No. PG193909 (Oregon).

The current practice location address for Alvin Annen is 3181 Sw Sam Jackson Park Rd, Portland, OR and can be reached out via phone at 503-494-8311.

Location: 3181 Sw Sam Jackson Park Rd, Portland, OR, 97239
person
Provider Profile Details
NPI Number
1699286468
Provider Name
Alvin Annen
Credential
MDSTUDENT
Provider Entity Type
Individual
Gender
Male
Address
3181 Sw Sam Jackson Park Rd, Portland, OR, 97239
Phone Number
503-494-8311
Fax Number
Provider Enumeration Date
10/19/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3181 Sw Sam Jackson Park Rd
City
State
Zip
97239-3011
Phone Number
503-494-8311
Fax Number
person
Provider Business Mailing Address Details
Address
3181 Sw Sam Jackson Park Rd
City
State
Zip
97239-3011
Phone Number
503-494-8311
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
(Oregon)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
PG193909 (Oregon)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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