Individual
JULES RICHARD ALTFAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1525 NE WEIDLER ST, PORTLAND, OR 97232-1410
(503) 227-3912
Mailing address
1525 NE WEIDLER ST, STE 101, PORTLAND, OR 97232-1410
(503) 227-3912
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD09841
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100263
—
OR
Enumeration date
01/30/2008
Last updated
07/17/2019
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