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Contact Information

ALEXANDER FONG, MSN, AGACNP-BC
501 N GRAHAM ST STE 220
PORTLAND, OR97227-2014
 Phone: 503-414-6200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
 

Critical Care Medicine

163WC0200X
Indicates primary specialty

NPI Profile & details for ALEXANDER FONG · (Male)

NPI # 1033880901
Status Active
Credentials MSN, AGACNP-BC
Entity Individual
Enumeration date 09/21/2021
Last updated 06/02/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # 201802224RN
  • OR License # 202113265NP-PP
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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