IndividualActive
Alex Kwak, RN
NPI 1750806964 · Addiction (Substance Use Disorder) Registered Nurse · Portland, OR
Provider details
- NPI number
- 1750806964
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- License
- 201705197RN (OR)
Mailing address
Po Box 3007
Portland, OR 97208-3007
Registry dates
- Enumerated
- 2017-08-08
- Last updated
- 2017-08-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.