Guimaraes, Alexander R
Guimaraes, Alexander R is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd , Portland OR 97239-3011. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Guimaraes, Alexander R can be contacted via phone (503) 418-0990.Contact Information
Primary practice address
3181 Sw Sam Jackson Park Rd
Portland OR 97239-3011
Phone: (503) 418-0990
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 208245 | Massachusetts |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 167635 | Oregon |
Profile Details
NPI number | 1194791764 |
---|---|
LBN Legal business name | Guimaraes, Alexander R |
Credentials | MD PHD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 24th, 2006 |
Last updated | Sep 15th, 2014 - about 11 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 | 1194791764 | NPPES |
Massachusetts | Other | J27265 | BCBS MA |
Massachusetts | MEDICAID | 2039681 | BCBS MA |
Massachusetts | Other | 466509 | BCBS MA |
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