Individual
DR. ULRIKA MAGDALENA AGNEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3098
(503) 494-8211
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3098
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD61088552
WA
207QA0401X
Addiction Medicine (Family Medicine) Physician
MD197384
OR
207QA0401X
Addiction Medicine (Family Medicine) Physician
MD61088552
WA
Other
Enumeration date
03/23/2017
Last updated
08/18/2022
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