Individual provider · NPI-1

Dr. Ulrika Magdalena Agnew, MD

Emergency Medicine · Portland, OR

NPI number1598296394
StatusActive
Last updated in NPPESAug 18, 2022

Details

NPI
1598296394
Entity type
Individual (NPI-1)
Name
Dr. Ulrika Magdalena Agnew
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Mar 23, 2017
Certification date
Aug 18, 2022
Last updated
Aug 18, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency MedicineMD61088552WAYes
207QA0401X Family Medicine, Addiction MedicineMD61088552WA
207QA0401X Family Medicine, Addiction MedicineMD197384OR

Practice location

3181 Sw Sam Jackson Park Rd
Portland, OR 97239-3098

Phone 503-494-8211

Mailing address

3181 Sw Sam Jackson Park Rd
Portland, OR 97239-3098

Other practice locations

20900 Biscayne Blvd
Aventura, FL 33180-1407

Phone 305-692-3392

3400 Main St
Vancouver, WA 98663-2223

Phone 360-969-5232 · Fax 360-696-5228

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