Individual
ALYSSA RACHAEL PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5050 NE HOYT ST STE B55, PORTLAND, OR 97213-2957
(503) 233-5393
(503) 659-8984
Mailing address
5050 NE HOYT ST STE B55, PORTLAND, OR 97213-2957
(503) 233-5393
(503) 659-8984
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00705
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085258
—
OR
Enumeration date
09/01/2005
Last updated
12/03/2018
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