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NPI Code Detail

MEDICARE: DR. ALIA ALHUMAID MD

MEDICARE: DR. ALIA ALHUMAID MD
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
1207R00000XInternal Medicine PhysicianMD191415OR
2390200000XStudent in an Organized Health Care Education/Training Program229898MA

General Provider Information

NPI Number : 1598936916
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALIA ALHUMAID MD
Provider Business Mailing Address
First Line : 4004 KRUSE WAY PL STE 160
Second Line :
City : LAKE OSWEGO
State : OR
Zip : 97035-2449
Country : US
Telephone Number : 503-486-7276
Fax Number : 503-967-7108
Provider Business Practice Location Address
First Line : 5 CENTERPOINTE DR STE 400
Second Line :
City : LAKE OSWEGO
State : OR
Zip : 97035-8661
Country : US
Telephone Number : 503-486-7276
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2008
Last Update Date : 01/24/2024

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Directions to “ DR. ALIA ALHUMAID MD” Practice Location

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