Individual
ALEXANDER ORTMAN CANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
825 EASTLAKE AVE E, SEATTLE, WA 98109-4405
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD.MD.61408891
WA
2080P0202X
Pediatric Cardiology Physician
Primary
MD.MD.61408891
WA
2080P0202X
Pediatric Cardiology Physician
Primary
MD61408891
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2020
Last updated
06/25/2026
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