Individual
ALEXIS ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12115 SW 70TH AVE STE 202, TIGARD, OR 97223-9648
(503) 404-2338
Mailing address
8926 SW TERRETON PL, PORTLAND, OR 97223-6894
(504) 371-2785
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61147691
WA
Other
Enumeration date
02/14/2021
Last updated
02/14/2021
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