Individual
DR. ALY IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3303 SW BOND AVE, DEPARTMENT OF NEUROLOGICAL SURGERY, PORTLAND, OR 97239
(503) 494-4314
(503) 346-6810
Mailing address
33 NW PARK AVE, APT 407, PORTLAND, OR 97209-3389
(503) 425-9030
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
FE166839
OR
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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