Alexander, Jonathan Stuart
Alexander, Jonathan Stuart is an sole proprietor health care provider with primary practice located at 1414 Nw Northrup St Ste 600 , Portland OR 97209-2790. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Alexander, Jonathan Stuart can be contacted via phone (503) 223-3104.Contact Information
Primary practice address
1414 Nw Northrup St Ste 600
Portland OR 97209-2790
Phone: (503) 223-3104
Fax: (503) 223-4619
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD24307 | Oregon |
Profile Details
| NPI number | 1942218276 |
|---|---|
| LBN Legal business name | Alexander, Jonathan Stuart |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Nov 21st, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942218276 | NPPES |
| Washington | MEDICAID | 2100933 | |
| Washington | MEDICAID | 227226 |
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