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Individual

ALEXIS THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
17905 NE GLISAN ST, PORTLAND, OR 97230-6507
(503) 957-5366
Mailing address
120 SE 143RD AVE APT 12, PORTLAND, OR 97233-2177
(503) 957-5366

Taxonomy

Speciality
Code
Description
License number
State
374J00000X
Doula
Primary

Other

Enumeration date
12/03/2020
Last updated
12/03/2020
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