ALEXANDER FONG MSN AGACNP-BC NPI 1033880901

NPI Information

NPI: 1033880901
Provider Name: ALEXANDER FONG, MSN, AGACNP-BC
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
501 N GRAHAM ST STE 220
PORTLAND, OR
ZIP 97227
Phone: (503) 414-6200
Get Directions

Alexander Fong, MSN, AGACNP-BC is an acute care nurse practitioner in Portland, OR. Alexander Fong, MSN, AGACNP-BC NPI is 1033880901. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

501 N GRAHAM ST STE 220
PORTLAND, OR
ZIP 97227-014
Phone: (503) 414-6200

The NPI 1033880901 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/21/2021 and was last updated on 6/2/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	201802224RN	OREGON	No
2	163WC0200X	Registered Nurse	Critical Care Medicine	201802224RN	OREGON	No
3	363LA2100X	Nurse Practitioner	Acute Care	202113265NP-PP	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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