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KRISTOFFER ALLEN PORTUGALEZA AUZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
4320 DIPLOMACY DR, ANCHORAGE, AK 99508-5925
(907) 729-3300
Mailing address
7033 E TUDOR RD, ANCHORAGE, AK 99507-1262
(907) 729-7408
(907) 729-5180

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
160804
AK
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
160804
AK

Other

Enumeration date
07/30/2020
Last updated
05/04/2026
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