Individual
ALEXANDRA JANE MCMENAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11900 SW GREENBURG RD, TIGARD, OR 97223-6453
(503) 620-5556
Mailing address
11900 SW GREENBURG RD, TIGARD, OR 97223-6453
(503) 620-5556
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00890
OR
363AM0700X
Medical Physician Assistant
PA00890
OR
Other
Enumeration date
10/26/2006
Last updated
11/07/2018
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