Cornell, Alexandra Gately
Cornell, Alexandra Gately is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd Ohsu Pediatrics, Portland OR 97239-3011. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Pulmonology. Allopathic & Osteopathic Physicians / Pediatric Pulmonology is her primary health care specialty. Cornell, Alexandra Gately can be contacted via phone (503) 494-5476.Contact Information
Primary practice address
3181 Sw Sam Jackson Park Rd Ohsu Pediatrics
Portland OR 97239-3011
Phone: (503) 494-5476
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 249817 | New York |
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | 15287 | New Hampshire |
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | 161586 | Oregon |
Profile Details
| NPI number | 1164580486 |
|---|---|
| LBN Legal business name | Cornell, Alexandra Gately |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2006 |
| Last updated | Mar 15th, 2013 - about 12 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 | 1164580486 | NPPES |
| New Hampshire | MEDICAID | 32000767 |
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