ALEXA NICOLE THAVORN

PORTLAND, OR
NPI1083205074
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: OR  ATI4556)
Enumeration Date2021-02-01
Last Update Date2021-02-01
Business Address
ALEXA NICOLE THAVORN OD
11805 NW CEDAR FALLS DR STE 105
PORTLAND, OR 97229-2780
Phone number: 503-747-0265
Mailing Address
ALEXA NICOLE THAVORN OD
2621 NE 7TH AVE APT 404
PORTLAND, OR 97212-3179
Phone number: 714-478-2676
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