Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MD27780 | OR |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | MD27780 | OR |
NPI | 1376699041 |
---|---|
Provider Name | Alexander Eugene Denes JR. |
First Address | Portland, OR 97225-5914 |
Second Address | Portland, OR 97225-5914 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2007 |
Last Update Date | 07/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
244106 | (05) | OR |
MD27780 | OR MED LIC (01) | OR |