Most Relevant Information
Provider Data
| NPI Number: | 1003471426 |
| Provider Name: | ALVIN ASHNEEL PRASAD PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 203622 |
Most Important Dates
| Enumeration Date: | 05/01/2019 |
| Last Updated: | 03/17/2021 |
Provider Practice Location
2730 SW MOODY AVE
PORTLAND
OR
972015042
Practice Location Phone/Fax
| Phone: | 5034943633 |
| Fax: |
Provider Mailing Location
1515 SW 5TH AVE STE 870
PORTLAND
OR
972015406
Provider Mailing Phone/Fax
| Phone: | 5033468014 |
| Fax: |