Individual
MS. ALEXANDRA JEAN NORTHUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, RYT
Contact information
Practice address
4940 NE 16TH AVE, PORTLAND, OR 97211-5042
(503) 806-5130
Mailing address
3117 NE DEKUM ST, PORTLAND, OR 97211-6637
(503) 806-5130
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
01/14/2010
Last updated
01/14/2010
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