Individual
ALEXIS BANSBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A
Contact information
Practice address
4560 SE INTERNATIONAL WAY,, STE 100, MILWAUKIE, OR 97222
(971) 206-5205
Mailing address
831 CORONADO CENTER DR APT 3201, HENDERSON, NV 89052-4033
(503) 927-1099
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1987
NV
Other
Enumeration date
09/07/2016
Last updated
01/29/2025
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