Individual
ALEXANDER DEUSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4770 SW 165TH AVE, BEAVERTON, OR 97078-1922
(971) 404-5419
Mailing address
4770 SW 165TH AVE, BEAVERTON, OR 97078-1922
(971) 404-5419
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
L10313
OR
101YM0800X
Mental Health Counselor
Primary
L11190
OR
Other
Enumeration date
09/29/2020
Last updated
12/01/2022
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