Individual
LILLIAN ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2811 NE HOLMAN ST, PORTLAND, OR 97211-6067
(503) 493-6202
Mailing address
2811 NE HOLMAN ST, PORTLAND, OR 97211-6067
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2801
OR
Other
Enumeration date
09/04/2013
Last updated
12/10/2019
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