Individual
ALEXIS LEE WASHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 SW YAMHILL ST, PORTLAND, OR 97204-1335
(347) 703-1803
Mailing address
520 SW YAMHILL ST, PORTLAND, OR 97204-1335
(347) 703-1803
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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