Individual
ALEX J RICKETTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
16110 SW REGATTA LN, BEAVERTON, OR 97006-8942
(503) 533-7166
(503) 533-4433
Mailing address
16110 SW REGATTA LN, BEAVERTON, OR 97006-8942
(503) 533-7166
(503) 230-1541
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1638
OR
Other
Enumeration date
07/25/2006
Last updated
08/01/2022
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