Individual provider · Type 1 NPI

Alexander John Nydahl, PA-C

Medical Physician Assistant · Portland, OR

NPI number 1891105045 Active

Practice location

3181 SW Sam Jackson Park Rd # BTE119, Ohsu Division Of Hospital Medicine
Portland, OR 97239-3011

Mailing address

3181 SW Sam Jackson Park Rd, BTE119
Portland, OR 97239-3011

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA172286 (OR)

Medical Physician Assistant: Definition to come...

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About NPI 1891105045

Alexander John Nydahl, PA-C's National Provider Identifier is 1891105045, issued on Apr 28, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portland, OR. The record was last updated on Dec 17, 2020.