Individual
ALEXANDRA DIMITROVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, MAIL CODE CR 120, PORTLAND, OR 97239-3011
(503) 494-0744
Mailing address
2316 NW QUIMBY STREET, PORTLAND, OR 97210
(617) 669-2989
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
236905
MA
2084N0400X
Neurology Physician
Primary
MD158503
OR
Other
Enumeration date
11/22/2008
Last updated
11/25/2013
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