Individual
ALEXANDER JON BOSCANIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5050 NE HOYT ST STE 625, PORTLAND, OR 97213-2990
(503) 731-2900
Mailing address
5050 NE HOYT ST STE 625, PORTLAND, OR 97213-2990
(503) 494-8652
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD183011
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/14/2015
Last updated
06/22/2021
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