Individual
ALEJANDRO ROBERTO RUIZ-ELIZALDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9135 SW BARNES RD STE 763, PORTLAND, OR 97225-6777
(503) 216-6560
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
P56024
NY
2086S0120X
Pediatric Surgery Physician
28356
OK
2086S0120X
Pediatric Surgery Physician
Primary
MD222471
OR
Other
Enumeration date
09/18/2008
Last updated
02/24/2025
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