Individual provider · Type 1 NPI

Alicia Emily Dupre, MD

Student in an Organized Health Care Education/Training Program · Portland, OR

NPI number 1649847112 Active

Practice location

3181 SW Sam Jackson Park Rd # L-579
Portland, OR 97239-3079

Call (603) 380-6489 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1649847112

Alicia Emily Dupre, MD's National Provider Identifier is 1649847112, issued on Jun 4, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, OR. The record was last updated on Oct 31, 2023.