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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356609374 NPPES
Oregon Other MD210833 LICENSE

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