Individual
MS. MARI KRESGE ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C, LMFT
Contact information
Practice address
226 SE 8TH AVE, HILLSBORO, OR 97123-4218
(503) 601-7400
(503) 601-7311
Mailing address
PO BOX 568, CORNELIUS, OR 97113-0568
(503) 352-8657
(503) 352-8658
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
T0523
OR
363A00000X
Physician Assistant
Primary
PA01219
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500669279
—
OR
Enumeration date
02/02/2007
Last updated
05/19/2016
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