- Practice location
- 2340 SE Gladstone St, Portland, OR 97202-2962
- Phone
- 503-267-3166
- Fax
- —
- Last updated
- June 18, 2020
Alter Image, INC. is a healthcare organization based in Portland, OR. The NPI number for Alter Image, INC. is 1679199335. The current practice location address is 2340 SE Gladstone St, Portland, OR 97202-2962 and the office can be reached by phone at 503-267-3166. The NPI was assigned on June 18, 2020 and the record was last updated in NPPES on June 18, 2020.
●Provider Profile Details
- NPI Number
- 1679199335
- Provider Name
- Alter Image, INC.
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Specialist · 174400000X
- Organization Subpart
- No
- Authorized Official
- Eva B Kozlowski, LE, CPE · Owner · 503-267-3166
- Enumeration Date
- June 18, 2020
- Last Update Date
- June 18, 2020
- Certification Date
- June 18, 2020
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 2340 SE Gladstone St
Portland, OR 97202-2962 - City
- Portland
- State
- Oregon
- ZIP
- 97202-2962
- Country
- US
- Phone Number
- 503-267-3166
✉Business Mailing Address
- Address
- 6340 SE Clatsop St
Portland, OR 97206-0716 - City
- Portland
- State
- OR
- ZIP
- 97206-0716
- Phone Number
- 503-267-3166
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Specialist 193400000X - Single Specialty Group | 174400000X | Yes | — | — |
#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 Alter Image, INC.?
The NPI number of Alter Image, INC. is 1679199335. It was assigned on June 18, 2020 and is currently active in the NPPES registry.
What is the specialty of Alter Image, INC.?
Alter Image, INC. is registered under the primary taxonomy Specialist (code 174400000X).
Where does Alter Image, INC. practice?
The practice location is 2340 SE Gladstone St, Portland, OR 97202-2962. The office can be reached at 503-267-3166 (phone).
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 1679199335 directly on the NPPES registry website at npiregistry.cms.hhs.gov.