Individual
MAURICIO ALEJANDRO CABEZAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3375 SW TERWILLIGER BLVD, PORTLAND, OR 97239-4146
(503) 494-7674
(503) 494-3929
Mailing address
3375 SW TERWILLIGER BLVD, PORTLAND, OR 97239-4146
(503) 494-7674
(503) 494-3929
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
18183
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LL18183
MEDICAL LICENSE
OR
Enumeration date
12/02/2008
Last updated
12/02/2008
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