MR. ALEX MICHAEL PANDZIK NP NPI 1770716763

NPI Information

  • NPI: 1770716763
  • Provider Name: MR. ALEX MICHAEL PANDZIK, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9775 SE SUNNYSIDE RD
    SUITE 200
    CLACKAMAS, OR
    ZIP 97015
  • Phone: (503) 655-8471

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NPI Details

MR. Alex Michael Pandzik, NP is a family nurse practitioner in Clackamas, OR with 14 years of experience. MR. Alex Michael Pandzik, NP NPI is 1770716763. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9775 SE SUNNYSIDE RD
SUITE 200
CLACKAMAS, OR
ZIP 97015-739
Phone: (503) 655-8471
Fax: (503) 723-4907

The NPI 1770716763 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Hemoglobin a1c level (HCPCS:83036)

The enumeration date for this NPI number is 8/25/2009 and was last updated on 10/18/2016.

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
1363LF0000XNurse PractitionerFamily201250022NPOREGONYes

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: 3/30/2025

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