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Individual

DR. ALEC SITHOLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
10313 SW 69TH AVE, TIGARD, OR 97223-9103
(503) 726-3698
Mailing address
4039 SE HOLGATE BLVD APT 15, PORTLAND, OR 97202-3169
(503) 705-9833

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
06/18/2011
Last updated
06/18/2011
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