Provider Demographics
NPI:1417181629
Name:ALDAY, PHIL HOLLAND JR (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:PHIL
Middle Name:HOLLAND
Last Name:ALDAY
Suffix:JR
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5711 SE LONG ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97206-4956
Mailing Address - Country:US
Mailing Address - Phone:601-212-9980
Mailing Address - Fax:
Practice Address - Street 1:3181 SW SAM JACKSON PARK ROAD L457
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-3098
Practice Address - Country:US
Practice Address - Phone:503-494-7735
Practice Address - Fax:403-494-4264
Is Sole Proprietor?:No
Enumeration Date:2009-05-04
Last Update Date:2014-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD167089207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease