Individual
ALEXANDRA GASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 NE 68TH AVE, PORTLAND, OR 97213-4957
(503) 988-3460
Mailing address
2040 SE POWELL BLVD, PORTLAND, OR 97202-2345
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/26/2019
Last updated
07/25/2023
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