Individual
MRS. ALEXANDRA BOROK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3600 N INTERSTATE AVE, PORTLAND, OR 97227-1106
(503) 285-9321
Mailing address
4199 NW 178TH PL, PORTLAND, OR 97229-7703
(503) 690-8947
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OR 1979T
OR
152W00000X
Optometrist
WA OD00001816
WA
Other
Enumeration date
09/04/2006
Last updated
08/16/2019
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