Individual
ALEXANDRA OLEGOVNA SOKOLOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3485 S. BOND AVE, PORTLAND, OR 97239
(503) 494-4393
Mailing address
3485 S. BOND AVE, OC14P, PORTLAND, OR 97239
(503) 494-4393
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD60879877
WA
207RH0003X
Hematology & Oncology Physician
Primary
MD60879877
WA
207RX0202X
Medical Oncology Physician
MD204132
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902223084
—
WA
Enumeration date
03/26/2014
Last updated
08/06/2021
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