Alexandra Jean Northup LMT, RYT

NPI 1790016723 - Health Educator - 174H00000X

NPI Details
NPI 1790016723
Gender Female
Enumeration Date 01/14/2010
Last Updated 01/14/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
4940 NE 16TH AVE
PORTLAND OR, 97211-5042, US
Phone (503) 806-5130
Fax
Business Location
3117 NE DEKUM ST
PORTLAND OR, 97211-6637, US
Phone (503) 806-5130
Fax
Toxanomy
Taxonomy Code 174H00000X
License State
License Number
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According to our database, Ms. Alexandra Jean Northup LMT, RYT NPI is 1790016723, taxonomy code is 174H00000X Alexandra Jean Northup LMT, RYT physically located at 4940 Ne 16th Ave, Portland OR, 97211-5042. NPI Number Alexandra Jean Northup LMT, RYT has the Individual type.

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1790016723 NPI number is provided on an as is basis without warranty of any kind. 1790016723 is maintained by the National Plan & Provider Enumeration System. The contents of Alexandra Jean Northup LMT, RYT are for informational purposes only.