Individual
ALEXANDRA KANAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 813-2000
Mailing address
1921 SE 42ND AVE # 2, PORTLAND, OR 97215-3700
(925) 324-4983
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
201708272RN
OR
Other
Enumeration date
11/17/2018
Last updated
11/17/2018
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