Healthcare Provider Details
I. General information
NPI: 1427497031
Provider Name (Legal Business Name): ALEXANDRA GABRIELLE BOND M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/17/2013
Last Update Date: 03/14/2025
Certification Date: 03/14/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2865 SW CEDAR HILLS BLVD BLDG 14
BEAVERTON OR
97005-1343
US
IV. Provider business mailing address
1 EMBARCADERO CTR STE 1900
SAN FRANCISCO CA
94111-3723
US
V. Phone/Fax
- Phone: 503-342-2520
- Fax:
- Phone: 415-658-6791
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | R9474 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: