Jeremiah A Alt, MD, PHD
Otolaryngology in Portland, Oregon
1598968380- 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 A Alt, MD, PHD is a Otolaryngology based in Portland, OR. Jeremiah A Alt, MD, PHD holds the professional credentials of MD, PHD. The NPI number for Jeremiah A Alt, MD, PHD is 1598968380 and holds license No. TRN11153 (FL). The current practice location address is 3303 SW Bond Ave # Ch5e, Portland, OR 97239-3098 and the office can be reached by phone at 503-494-5678 and by fax at 503-494-4631. The NPI was assigned on June 7, 2007 and the record was last updated in NPPES on October 16, 2021.
●Provider Profile Details
- NPI Number
- 1598968380
- Provider Name
- Jeremiah Andrew Alt
- Credential
- MD, PHD
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Male
- Primary Taxonomy
- Otolaryngology · 207Y00000X
- Sole Proprietor
- No
- Enumeration Date
- June 7, 2007
- Last Update Date
- October 16, 2021
- Certification Date
- October 16, 2021
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 3303 SW Bond Ave # Ch5e
Portland, OR 97239-3098 - City
- Portland
- State
- Oregon
- ZIP
- 97239-3098
- Country
- US
- Phone Number
- 503-494-5678
- Fax Number
- 503-494-4631
✉Business Mailing Address
- 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
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Surgery | 208600000X | No | TRN11153 | FL |
| Otolaryngology | 207Y00000X | Yes | MD156611 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Portland →?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) and holds license No. TRN11153 (FL).
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 at npiregistry.cms.hhs.gov.