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Alexander Phan, RN
Family Nurse Practitioner in Portland, Oregon
NPI 1952749087

Alexander Phan is a Family Nurse Practitioner based in Portland, OR and is specialized in Family. Alexander Phan practices in Portland, OR and has the professional credentials of RN. The NPI Number for Alexander Phan is 1952749087 and holds a License No. 201900297NP-PP (Oregon).

The current practice location address for Alexander Phan is 1350 Ne 122Nd Ave, Portland, OR and can be reached out via phone at 503-408-7008.

Location: 1350 Ne 122Nd Ave, Portland, OR, 97230-2011
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Provider Profile Details
NPI Number
1952749087
Provider Name
Alexander Phan
Credential
RN
Provider Entity Type
Individual
Gender
Male
Address
1350 Ne 122Nd Ave, Portland, OR, 97230-2011
Phone Number
503-408-7008
Fax Number
Provider Enumeration Date
06/11/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
274147 05 OR
institution
Provider Business Practice Location Address Details
Address
1350 Ne 122Nd Ave
City
State
Zip
97230
Phone Number
503-408-7008
Fax Number
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Provider Business Mailing Address Details
Address
1350 Ne 122Nd Ave
City
State
Zip
97230
Phone Number
503-408-7008
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
201900297NP-PP (Oregon)
Definition
Definition to come...
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