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1841883501
ALEXIS ALI
TIGARD, OR
NPI
1841883501
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: WA AP61147691)
Enumeration Date
2021-02-14
Last Update Date
2021-02-14
Business Address
ALEXIS ALI
12115 SW 70TH AVE STE 202
TIGARD, OR 97223-9648
Phone number: 503-404-2338
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Mailing Address
ALEXIS ALI
8926 SW TERRETON PL
PORTLAND, OR 97223-6894
Phone number: 504-371-2785
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