Individual
DR. ALEXANDER MATTHEW DEHAAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11782 SW BARNES RD, SUITE 300, PORTLAND, OR 97225-5914
(503) 214-5200
(503) 906-6613
Mailing address
11782 SW BARNES RD, SUITE 300, PORTLAND, OR 97225-5914
(503) 214-5200
(503) 906-6613
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD162188
OR
207X00000X
Orthopaedic Surgery Physician
Primary
MD162188
OR
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
MD162188
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50065415
—
OR
01
—
MD162188
LICENSE NUMBER
OR
Enumeration date
04/02/2010
Last updated
05/14/2022
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