Provider Demographics
NPI:1578684692
Name:CONTRERAS, ALEJANDRO (ND)
Entity type:Individual
Prefix:DR
First Name:ALEJANDRO
Middle Name:
Last Name:CONTRERAS
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:OREGON CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97045-2239
Mailing Address - Country:US
Mailing Address - Phone:503-722-4270
Mailing Address - Fax:503-722-4450
Practice Address - Street 1:516 HIGH ST
Practice Address - Street 2:
Practice Address - City:OREGON CITY
Practice Address - State:OR
Practice Address - Zip Code:97045-2239
Practice Address - Country:US
Practice Address - Phone:503-722-4270
Practice Address - Fax:503-722-4450
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORND1141207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORND1141OtherSTATE