Nicoloff, Alexander Demetre
Nicoloff, Alexander Demetre is an individual health care provider with primary practice located at 501 N Graham St Suite 415, Portland OR 97227-1654. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Nicoloff, Alexander Demetre can be contacted via phone (503) 413-3580.Contact Information
Primary practice address
501 N Graham St Suite 415
Portland OR 97227-1654
Phone: (503) 413-3580
Fax: (503) 413-3578
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 18926 | Oregon |
Profile Details
| NPI number | 1386610277 |
|---|---|
| LBN Legal business name | Nicoloff, Alexander Demetre |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Jul 16th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386610277 | NPPES |
| Oregon | MEDICAID | 226934 |
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