IndividualActive
Alexandra Wiggins-Mohan, MD
NPI 1376004077 · Internal Medicine Physician · Portland, OR
Provider details
- NPI number
- 1376004077
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- MD207080 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4805 Ne Glisan St
Portland, OR 97213-2933
Phone: (503) 215-1111
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3158
Portland, OR 97208-3158
Registry dates
- Enumerated
- 2019-03-26
- Last updated
- 2026-04-02
- Certified
- 2026-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.