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Alexander Fong, MSN, AGACNP-BC

Nurse Practitioner, Acute Care in Portland, OR. Individual provider (NPI-1).

NPI number1033880901
StatusActive
Last updated in NPPESJun 2, 2023

Details

NPI
1033880901
Entity type
Individual (NPI-1)
Name
Alexander Fong
Credential
MSN, AGACNP-BC
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 21, 2021
Certification date
Jun 2, 2023
Last updated
Jun 2, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - NURSE PRACTITIONER
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LA2100X Nurse Practitioner, Acute Care202113265NP-PPORYes
363LA2100X Nurse Practitioner, Acute Care201802224RNOR
163WC0200X Registered Nurse, Critical Care Medicine201802224RNOR

Practice location

501 N Graham St Ste 220
Portland, OR 97227-2014

Phone 503-414-6200

Mailing address

501 N Graham St Ste 220
Portland, OR 97227-2014

Phone 503-413-6200

Other practice locations

8050 Sw Warm Springs St
Tualatin, OR 97062-7424

Phone 801-699-5476

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Acute Care Nurse Practitioner providers in Portland, OR

All 138 Acute Care Nurse Practitioner providers in Portland · All 48,847 providers in Portland

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