Individual
ALEXANDER ROBERT BURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1121 NE 2ND, OREGON STATE HOSPITAL, PORTLAND, OR 97232
(503) 731-8620
Mailing address
PO BOX 14900, OREGON STATE HOSPITAL, SALEM, OR 97309-5016
(503) 945-9840
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
MD15594
OR
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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