Alex Michael Pandzik NP

NPI 1770716763 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1770716763
Gender Male
Enumeration Date 08/25/2009
Last Updated 02/11/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
9775 SE SUNNYSIDE RD
SUITE 200
CLACKAMAS OR, 97015-5739, US
Phone (503) 794-3830
Fax (503) 794-3850
Business Location
2051 KAEN RD
SUITE 367
OREGON CITY OR, 97045-4035, US
Phone (503) 742-5300
Fax (503) 742-5979
Toxanomy
Taxonomy Code 363LF0000X
License State Oregon
License Number 201250022NP
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According to our database, Mr. Alex Michael Pandzik NP NPI is 1770716763, taxonomy code is 363LF0000X and license number is 201250022NP, license state is located at Oregon. Alex Michael Pandzik NP physically located at 9775 Se Sunnyside Rd, Clackamas OR, 97015-5739. NPI Number Alex Michael Pandzik NP has the Individual type.

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1770716763 NPI number is provided on an as is basis without warranty of any kind. 1770716763 is maintained by the National Plan & Provider Enumeration System. The contents of Alex Michael Pandzik NP are for informational purposes only.