Individual
ALEXANDER JOSEPH PISCIOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1100 3RD ST, TILLAMOOK, OR 97141-3402
(503) 815-2292
Mailing address
1100 3RD ST, TILLAMOOK, OR 97141-3402
(503) 815-2292
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA218332
OR
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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