Individual
ALEXANDER HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8562
(503) 418-5505
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8562
(503) 418-5505
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD221527
OR
207QS0010X
Sports Medicine (Family Medicine) Physician
D0092575
MD
207QS0010X
Sports Medicine (Family Medicine) Physician
MD221527
OR
207QS0010X
Sports Medicine (Family Medicine) Physician
MD61492231
WA
Other
Enumeration date
03/20/2017
Last updated
09/18/2024
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