# ALEXANDER L WOROBEY MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598719221
- **Authorized official:** ALEXANDER L WOROBEY MD PC (OWNER PRESIDENT)
- **Authorized official phone:** (503) 297-7223

## Contact information

- **Practice address:** 4805 NE GLISAN, PORTLAND, OR 97213
- **Practice address phone:** (503) 215-1111
- **Mailing address:** 5319 SW WESTGATE DR, \#241, PORTLAND, OR 97221-2432
- **Mailing address phone:** (503) 297-7223
- **Mailing address fax:** (503) 297-7603

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | MD08897 | OR | Yes |

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 04/21/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 009399000 | REGENCE BCBSO | OR |
| 05 | — | 215046 | — | OR |