Individual
MS. ALIX L WHERLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, MAIL CODE: L352A, PORTLAND, OR 97239-3011
(503) 494-7824
(503) 494-0441
Mailing address
2250 NW KEARNEY ST, APT 413, PORTLAND, OR 97210-3058
(503) 924-9445
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA163453
OR
Other
Enumeration date
09/30/2013
Last updated
02/06/2015
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