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Alexander C Miramontes

Community Health Worker in Portland, OR. Individual provider (NPI-1).

NPI number1467372425
StatusActive
Last updated in NPPESJul 20, 2026

Details

NPI
1467372425
Entity type
Individual (NPI-1)
Name
Alexander C Miramontes
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 20, 2026
Certification date
Jul 20, 2026
Last updated
Jul 20, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker115186ORYes

Practice location

1130 Nw 22nd Ave Ste 320
Portland, OR 97210-2970

Phone 503-261-1171

Mailing address

200 Sw Market St Ste 1650
Portland, OR 97201-5739

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