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Individual

DR. ALEXANDER R GUIMARAES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD PHD

Contact information

Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-0990
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-0990

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
167635
OR
2085R0202X
Diagnostic Radiology Physician
208245
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2039681
MA
01
466509
TUFTS HEALTH PLAN
MA
01
J27265
BCBS MA
MA
Enumeration date
02/24/2006
Last updated
09/15/2014
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