Bolognese, Alexandra Cerutti
Bolognese, Alexandra Cerutti is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd , Portland OR 97239-3011. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Transplant Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Transplant Surgery is her primary health care specialty. Bolognese, Alexandra Cerutti can be contacted via phone (503) 494-7810.Contact Information
Primary practice address
3181 Sw Sam Jackson Park Rd
Portland OR 97239-3011
Phone: (503) 494-7810
Fax: (503) 494-5292
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Transplant Surgery | 204F00000X | 73045 | Wisconsin |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD210833 | Oregon |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 73045 | Wisconsin |
| Allopathic & Osteopathic Physicians / Transplant Surgery | 204F00000X | MD210833 | Oregon |
Profile Details
| NPI number | 1356609374 |
|---|---|
| LBN Legal business name | Bolognese, Alexandra Cerutti |
| Credentials | MD, PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2012 |
| Last updated | Oct 18th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356609374 | NPPES |
| Oregon | Other | MD210833 | LICENSE |
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