DR. JONATHAN STUART ALEXANDER (NPI# 1942218276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942218276 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN STUART ALEXANDER |
| Credential | M.D. |
| Practice Address |
1414 Nw Northrup St Suite 600 Portland OR 97209-2798 |
| Mailing Address |
847 Ne 19th Ave Ste 300 Portland OR 97232-2686 |
| Practice Telephone | 5032233104 |
| Practice Fax Number | 5032234619 |
| Mailing Telephone | 5039632801 |
| Mailing Fax Number | 5039632825 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2018-08-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | MD24307 | OR | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | MD00042382 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2100933 | 05 | |
| OR | 227226 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598277295 | Jonathan Charles Alexander | Registered Nurse | 701 6th St S Fl 33701, St Petersburg, FL 33701-4814 | 2017-11-02 |
| 1184924441 | Jonathan Myron Alexander | Family Medicine | 11 Whitbay Dr, West Orange, NJ 07052-6602 | 2010-11-02 |
| 1285870782 | Jonathan David Alexander | Counselor | 1512 Monaco St, Denver, CO 80220-1641 | 2009-01-05 |
| 1619409257 | Jonathan Struan Alexander | Student in an Organized Health Care Education/Training Program | 169 Ashley Ave Rm 202, Charleston, SC 29425-8905 | 2017-04-02 |
| 1679773717 | Jonathan Todd Alexander | Physical Therapist | 101 Hospital Dr, Princeton, KY 42445-2301 | 2007-07-18 |
| 1053486613 | Jonathan Michael Alexander | Physical Medicine & Rehabilitation | 501 Forest Ln, Suite A, Clemson, SC 29631-2621 | 2006-11-21 |
| 1811075450 | Jonathan P. Alexander | Hospitalist | 2200 Ofarrell St, San Francisco, CA 94115-3357 | 2006-11-01 |
| 1710921754 | Jonathan Alexander | Internal Medicine | 24 Hospital Ave, Danbury, CT 06810-6099 | 2006-06-16 |
| 1245223098 | Jonathan M Alexander | Radiology | 9600 Gross Point Rd, Suite A, Skokie, IL 60076-1214 | 2005-08-26 |
| Street Address |
1414 NW NORTHRUP ST SUITE 600 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97209-2798 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982670162 | Walter G. Larsen | Specialist | 1414 Nw Northrup St, Suite 600, Portland, OR 97209-2798 | 2006-02-27 |
| 1659642270 | Frederick J Campbell | Pharmacist | 1414 Nw Northrup St, Suite 800, Portland, OR 97209-2790 | 2012-01-13 |
| 1740334952 | Portland Dermatology Clinic, LLP | Specialist | 1414 Nw Northrup St, Suite 600, Portland, OR 97209-2798 | 2007-01-23 |
| 1356444582 | Cornelius Dial | Pharmacist | 1414 Nw Northrup St, Suite 800, Portland, OR 97209-2790 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1619599636 | Rivers Way Training Clinic | Community/Behavioral Health | 2049 Nw Hoyt, Portland, OR 97209 | 2020-05-13 |
| 1518590538 | Julie Kay Igarta | Registered Nurse | 140 Northwest 14th Avenue, Portland, OR 97209 | 2020-02-18 |
| 1407492002 | Oregon Injection Clinic | Clinic/Center | 1500 Nw Lovejoy, 106, Portland, OR 97209 | 2019-11-19 |
| 1487202883 | Ann Tesora | Massage Therapist | 1320 Northwest 20th Avenue, Portland, OR 97209 | 2019-08-28 |
| 1972160455 | Vincent Martin | Massage Therapist | 210 Sw 17th Avenue, Portland, OR 97209 | 2019-05-21 |
| 1154896546 | Jennifer Marie Dodd | Social Worker | 1722 Nw Raleigh St Spc 412, Portland, OR 97209 | 2018-10-11 |
| 1922551910 | Ashley Crowell | Physician Assistant | 949 Nw Overton St Unit 306, Portland, OR 97209 | 2016-07-26 |
| 1326408394 | Jennifer Blain | Counselor | 324 Nw Davis, Portland, OR 97209 | 2016-03-03 |
| 1275993255 | Lauren Dodson | Licensed Practical Nurse | 324 Nw Davis St, Portland, OR 97209 | 2016-03-03 |
| Find all providers in zip 97209 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508303561 | Carter Kroeplin Haag | Dermatology | 3303 S Bond Ave # 16d, Portland, OR 97239-4501 | 2017-01-27 |
| 1043765134 | Noelle Teske | Dermatology | 3303 S Bond Ave Fl 16, Portland, OR 97239-4501 | 2016-08-18 |
| 1134579535 | Caroline Morris | Dermatology | 3303 S Bond Ave # Chh16d, Portland, OR 97239-4501 | 2016-06-16 |
| 1033539184 | Natasha Fewkes Carter | Dermatology | 4914 Sw 1st Ave, Portland, OR 97239-2883 | 2014-04-16 |
| 1538588504 | Elizabeth Berry | Dermatology | Ohsu Department of Dermatology, 3303 Sw Bond Ave Ch 16d, Portland, OR 97239-4501 | 2014-04-07 |
| 1124250584 | Einar Axel Juhlin | Dermatology | 340 Eastern Promenade, Unit 154, Portland, ME 04101-2754 | 2009-08-19 |
| 1902040777 | Rajan P Kulkarni | Dermatology | 3303 Sw Bond Ave Ste 16, Portland, OR 97239 | 2009-04-23 |
| 1124280540 | Omar N Qutub | Dermatology | 1129 Nw 11th Ave, Portland, OR 97209-3469 | 2008-06-26 |
| 1285891168 | Stacy Nicole Reed | Dermatology | 13305 Nw Cornell Rd Ste C, Portland, OR 97229-5987 | 2008-05-19 |
| 1427243591 | Robert Bickford Amon | Dermatology | 1700 Sw Broadway Dr, Portland, OR 97201-2211 | 2007-09-11 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.