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Individual

ALEXANDRA JEAN COLSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNA

Contact information

Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(360) 256-0556
Mailing address
7315 SW VIRGINIA AVE, PORTLAND, OR 97219
(303) 881-8567

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
200812222CNA
OR
376K00000X
Nurse's Aide
712721
CO

Other

Enumeration date
04/08/2009
Last updated
04/08/2009
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