Individual
ALEXANDRA KATHERINE DEMETRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND, LM
Contact information
Practice address
404 E MAIN ST, BATTLE GROUND, WA 98604
(360) 687-0800
(360) 687-1600
Mailing address
404 E MAIN ST, BATTLE GROUND, WA 98604
(360) 687-0800
(360) 687-1600
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
1264
OR
175F00000X
Naturopath
Primary
NT60254488
WA
176B00000X
Midwife
MW60259967
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1264
ND OREGON LICENSE NUMBER
—
01
—
NT 60254488
ND WASHINGTON LICENSE NUMBER
—
Enumeration date
08/31/2006
Last updated
07/25/2018
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