Individual
ANDREW JAY PORTUGUESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1354 ALOHA ST, SEATTLE, WA 98109-4404
(206) 667-6656
Mailing address
1100 FAIRVIEW AVE N # D5-126, SEATTLE, WA 98109-4433
(206) 667-6656
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD61185433
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/18/2017
Last updated
07/10/2023
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