MEDICARE: DR. FRANCESCO D'ALESSANDRO MD-PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	A 86773	CA
2	207N00000X	Dermatology Physician	MD60085709	WA
3	207N00000X	Dermatology Physician	MD151399	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MD151399	OTHER	OR	STATE OF OREGON

General Provider Information

NPI Number	:	1457354136
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANCESCO D'ALESSANDRO MD-PHD

Provider Business Mailing Address
First Line	:	2865 DAGGETT AVE
Second Line	:
City	:	KLAMATH FALLS
State	:	OR
Zip	:	97601-1106
Country	:	US
Telephone Number	:	509-525-3720
Fax Number	:	509-522-1592

Provider Business Practice Location Address
First Line	:	3000 BRYANT WILLIAMS DR STE 100
Second Line	:
City	:	KLAMATH FALLS
State	:	OR
Zip	:	97601-1139
Country	:	US
Telephone Number	:	541-274-8908
Fax Number	:	541-274-8908

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	06/09/2016

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Directions to “ DR. FRANCESCO D'ALESSANDRO MD-PHD” Practice Location

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