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1336162353
ALEX J RICKETTS
BEAVERTON, OR
NPI
1336162353
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: OR 1638)
Enumeration Date
2006-07-25
Last Update Date
2022-08-01
Business Address
ALEX J RICKETTS PHD
16110 SW REGATTA LN
BEAVERTON, OR 97006-8942
Phone number: 503-533-7166
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Mailing Address
ALEX J RICKETTS PHD
16110 SW REGATTA LN
BEAVERTON, OR 97006-8942
Phone number: 503-533-7166
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