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1891105045
ALEXANDER JOHN NYDAHL
PORTLAND, OR
NPI
1891105045
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: OR PA172286)
Enumeration Date
2014-04-28
Last Update Date
2020-12-17
Business Address
Mr. ALEXANDER JOHN NYDAHL PA-C
3181 SW SAM JACKSON PARK RD # BTE119 OHSU DIVISION OF HOSPITAL MEDICINE
PORTLAND, OR 97239-3011
Phone number: 503-494-1164
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Mailing Address
Mr. ALEXANDER JOHN NYDAHL PA-C
3181 SW SAM JACKSON PARK RD BTE119
PORTLAND, OR 97239-3011
Phone number: 503-494-8311
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