Provider Demographics
NPI:1912229279
Name:GIEDWOYN, ALEKSANDRA ANNA (MD)
Entity Type:Individual
Prefix:
First Name:ALEKSANDRA
Middle Name:ANNA
Last Name:GIEDWOYN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ALEKSANDRA
Other - Middle Name:ANNA
Other - Last Name:GIEDWOYN MIZGAJSKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:835 SE 72ND AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97215-2211
Mailing Address - Country:US
Mailing Address - Phone:503-662-1971
Mailing Address - Fax:
Practice Address - Street 1:736 SE 60TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97215-1906
Practice Address - Country:US
Practice Address - Phone:503-662-1971
Practice Address - Fax:844-299-0399
Is Sole Proprietor?:No
Enumeration Date:2010-02-26
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD25161207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine