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ALEXANDER GLORIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
171 S HIGHWAY 101, WARRENTON, OR 97146
(503) 717-7000
Mailing address
PO BOX 3397, PORTLAND, OR 97208-3397
(503) 215-6446
(503) 215-6644

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD00038757
WA
207Q00000X
Family Medicine Physician
Primary
MD28108
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
274182
OR
05
8257859
WA
Enumeration date
07/07/2006
Last updated
05/30/2018
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