Individual provider · Type 1 NPI
Alex Kwak, RN
Addiction (Substance Use Disorder) Registered Nurse · Portland, OR
NPI number
1750806964
Active
Practice location
1312 SW Washington St
Portland, OR 97205-2327
Mailing address
PO Box 3007
Portland, OR 97208-3007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse Primary | 163WA0400X | 201705197RN (OR) |
Addiction (Substance Use Disorder) Registered Nurse: Definition to come...
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About NPI 1750806964
Alex Kwak, RN's National Provider Identifier is 1750806964, issued on Aug 8, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Registered Nurse (163WA0400X), and the practice location is in Portland, OR. The record was last updated on Aug 8, 2017.