DR. ALEXANDRA GATELY CORNELL M.D. NPI 1164580486

NPI Information

NPI: 1164580486
Provider Name: DR. ALEXANDRA GATELY CORNELL, M.D.
Classification: Pediatrics - 2080P0214X
Entity Type: Individual

Specialization: Pediatric Pulmonology

Address:
3181 SW SAM JACKSON PARK RD
OHSU PEDIATRICS
PORTLAND, OR
ZIP 97239
Phone: (503) 494-5476
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DR. Alexandra Gately Cornell, M.D. is a pediatric pulmonology pediatrics in Portland, OR. The provider is a pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. DR. Alexandra Gately Cornell, M.D. NPI is 1164580486. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3181 SW SAM JACKSON PARK RD
OHSU PEDIATRICS
PORTLAND, OR
ZIP 97239-011
Phone: (503) 494-5476

The enumeration date for this NPI number is 12/6/2006 and was last updated on 3/15/2013.

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	208000000X	Pediatrics		249817	NEW YORK	No
2	2080P0214X	Pediatrics	Pediatric Pulmonology	15287	NEW HAMPSHIRE	No
3	2080P0214X	Pediatrics	Pediatric Pulmonology	161586	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	32000767	MEDICAID	NEW HAMPSHIRE
2	002322502	MEDICARE PIN	NEW HAMPSHIRE

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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