Individual
ALEXANDRA WECKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16365 NW TWIN OAKS DR, BEAVERTON, OR 97006
(503) 828-3402
Mailing address
16055 SW WALKER RD, #443, BEAVERTON, OR 97006
(503) 828-3402
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
23-CRM-1659
OR
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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