Cabezas, Mauricio Alejandro

Cabezas, Mauricio Alejandro is an individual health care provider with primary practice located at 3375 Sw Terwilliger Blvd , Portland OR 97239-4146. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Cabezas, Mauricio Alejandro can be contacted via phone (503) 494-7674.

Contact Information

Primary practice address
3375 Sw Terwilliger Blvd Portland OR 97239-4146
Phone: (503) 494-7674
Fax: (503) 494-3929
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 18183 Oregon

Profile Details

NPI number 1295970424
LBN Legal business name Cabezas, Mauricio Alejandro
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2008
Last updated Dec 2nd, 2008 - about 17 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 1295970424 NPPES
Oregon Other LL18183 MEDICAL LICENSE

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