Individual
ALEX PERETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2950 SE STARK ST STE 130, PORTLAND, OR 97214-3082
(971) 270-0167
Mailing address
2950 SE STARK ST STE 130, PORTLAND, OR 97214-3082
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R11770
OR
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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