Individual
ALIVIA CETAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, OREGON HEALTH & SCIENCE UNIVERSITY - SURGERY L223A, PORTLAND, OR 97239
(503) 494-9000
Mailing address
3956 N LONGVIEW AVE, PORTLAND, OR 97227-1026
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
LL1630
OR
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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