Faircloth, Alise

Faircloth, Alise is an sole proprietor health care provider with primary practice located at 1921 Sw 144Th Ave , Beaverton OR 97005-2356. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Faircloth, Alise can be contacted via phone (503) 704-6982.

Contact Information

Primary practice address
1921 Sw 144Th Ave Beaverton OR 97005-2356
Phone: (503) 704-6982
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X 21439 Oregon

Profile Details

NPI number 1801262589
LBN Legal business name Faircloth, Alise
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2015
Last updated Aug 17th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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