Dehaan, Alexander Matthew

Dehaan, Alexander Matthew is an individual health care provider with primary practice located at 11782 Sw Barnes Rd Suite 300, Portland OR 97225-5914. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Dehaan, Alexander Matthew can be contacted via phone (503) 214-5200.

Contact Information

Primary practice address
11782 Sw Barnes Rd Suite 300 Portland OR 97225-5914
Phone: (503) 214-5200
Fax: (503) 906-6613
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD162188 Oregon
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X MD162188 Oregon
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD162188 Oregon

Profile Details

NPI number 1114242005
LBN Legal business name Dehaan, Alexander Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2010
Last updated May 14th, 2022 - about 2 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 1114242005 NPPES
Oregon Other MD162188 LICENSE NUMBER
Oregon MEDICAID 50065415 LICENSE NUMBER

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