Individual
SUZANNE GARDNER ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
1615 SE 36TH AVENUE, PORTLAND, OR 97214-1214
(503) 206-8300
Mailing address
1615 SE 36TH AVE, PORTLAND, OR 97214-5123
(503) 206-8300
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
754
SC
225X00000X
Occupational Therapist
984953
OR
Other
Enumeration date
01/02/2008
Last updated
05/19/2008
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