Alt, Jeremiah Andrew
Alt, Jeremiah Andrew is an individual health care provider with primary practice located at 3303 Sw Bond Ave # Ch5E , Portland OR 97239-3098. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Alt, Jeremiah Andrew can be contacted via phone (503) 494-5678.Contact Information
Primary practice address
3303 Sw Bond Ave # Ch5E
Portland OR 97239-3098
Phone: (503) 494-5678
Fax: (503) 494-4631
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | TRN11153 | Florida |
Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | MD156611 | Oregon |
Profile Details
NPI number | 1598968380 |
---|---|
LBN Legal business name | Alt, Jeremiah Andrew |
Credentials | M.D., PH.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 7th, 2007 |
Last updated | Oct 16th, 2021 - about 3 years ago |
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.
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