Individual
ALEXANDRA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
507 NE 47TH AVE, PORTLAND, OR 97213-2236
(503) 215-6488
Mailing address
507 NE 47TH AVE, PORTLAND, OR 97213-2236
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
64085
OR
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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