Individual provider · Type 1 NPI

Alexis Kari Bagwell, MD

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

NPI number 1861997447 Active

Practice location

3181 SW Sam Jackson Park Rd # L-579
Portland, OR 97239-3098

Call (503) 494-8211 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 1861997447

Alexis Kari Bagwell, MD's National Provider Identifier is 1861997447, issued on Mar 27, 2018. 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 Mar 27, 2018.