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Individual

ALEXANDRA M GATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPO

Contact information

Practice address
1424 N MCDONALD RD STE 201, SPOKANE VALLEY, WA 99216-6017
(509) 926-1403
(509) 926-1404
Mailing address
8880 SW NIMBUS AVE STE A, BEAVERTON, OR 97008-7111
(503) 765-5081

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
OI60220931
WA
224P00000X
Prosthetist
Primary
PS60220933
WA

Other

Enumeration date
12/02/2020
Last updated
12/02/2020
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