Individual
ALEX BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
4585 SW 185TH AVE, ALOHA, OR 97078-1557
(503) 318-5899
Mailing address
4585 SW 185TH AVE, ALOHA, OR 97078-1557
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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