Individual
ALEXANDER M ORTOLANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 STEVENS DR, SUITE 203, RICHLAND, WA 99352-3535
(509) 946-7900
(509) 946-7944
Mailing address
900 STEVENS DR, SUITE 203, RICHLAND, WA 99352-3535
(509) 946-7900
(509) 946-7944
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00043823
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8418352
—
WA
Enumeration date
12/20/2006
Last updated
02/05/2010
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