Individual
ALEX C KOICHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-4830
Mailing address
PO BOX 25180, PORTLAND, OR 97298-0180
(503) 797-6356
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD223935
OR
2085R0204X
Vascular & Interventional Radiology Physician
MD233935
OR
Other
Enumeration date
03/29/2019
Last updated
12/02/2025
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