ALEXANDRIA RAENE THACKER

TIGARD, OR
NPI1205568300
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WA  AP61370661)
Enumeration Date2022-06-28
Last Update Date2022-11-22
Business Address
ALEXANDRIA RAENE THACKER
12115 SW 70TH AVE STE 202
TIGARD, OR 97223-9648
Phone number: 503-404-2338
Mailing Address
ALEXANDRIA RAENE THACKER
12115 SW 70TH AVE STE 202
TIGARD, OR 97223-9648
Phone number: 503-404-2338