Individual
ALEXANDRA PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2850 SE POWELL VALLEY RD STE 100, GRESHAM, OR 97080-1495
(503) 666-5050
Mailing address
2850 SE POWELL VALLEY RD STE 100, GRESHAM, OR 97080-1495
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA218209
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2021
Last updated
10/21/2023
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