Individual
DR. JONATHAN STUART ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1414 NW NORTHRUP ST STE 600, PORTLAND, OR 97209-2790
(503) 223-3104
(503) 223-4619
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD24307
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2100933
—
WA
05
—
227226
—
OR
Enumeration date
08/03/2006
Last updated
11/21/2023
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