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Contact Information

DIEUSON ALIX
11097 SE 21ST AVE
MILWAUKIE, OR97222-7640
 Phone: 971-334-9295
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Other Service Providers

175T00000X
Indicates primary specialty

NPI Profile & details for DIEUSON ALIX · (Male)

NPI Number 1447998745
Status Active
Credentials
Entity Individual
Enumeration date 05/25/2022
Last updated 05/25/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • OR License # THW000106457
  • OR Medicaid THW000106457
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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