Individual provider · Type 1 NPI

Alexandra Cerutti Bolognese, MD, PhD

Transplant Surgery Physician · Portland, OR

NPI number 1356609374 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Fax (503) 494-5292

Mailing address

117 S Hamilton St
Madison, WI 53703-4314

Specialties and licenses

TaxonomyCodeLicense
Transplant Surgery Physician 204F00000X73045 (WI)
Surgery Physician 208600000XMD210833 (OR)
Surgery Physician 208600000X73045 (WI)
Transplant Surgery Physician Primary 204F00000XMD210833 (OR)

Transplant Surgery Physician: A surgeon who specializes in transplant surgery.

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About NPI 1356609374

Alexandra Cerutti Bolognese, MD, PhD's National Provider Identifier is 1356609374, issued on Apr 27, 2012. The primary taxonomy on file is Transplant Surgery Physician (204F00000X), and the practice location is in Portland, OR. The record was last updated on Oct 18, 2022.