Individual
ALEXIS JIZELLE PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2045 SILVERTON RD NE STE B, SALEM, OR 97301-0100
(503) 588-5351
Mailing address
2045 SILVERTON RD NE STE B, SALEM, OR 97301-0100
(503) 588-5351
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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