Jack, Alexandra M
Jack, Alexandra M is an sole proprietor health care provider with primary practice located at 8716 E Mill Plain Blvd Specialty Clinics Building, Vancouver WA 98664-2531. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Jack, Alexandra M can be contacted via phone (360) 514-7932.Contact Information
Primary practice address
8716 E Mill Plain Blvd Specialty Clinics Building
Vancouver WA 98664-2531
Phone: (360) 514-7932
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 560 | Oregon |
Profile Details
| NPI number | 1972674083 |
|---|---|
| LBN Legal business name | Jack, Alexandra M |
| Credentials | Registered Dietitian (RD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 11th, 2006 |
| Last updated | Oct 10th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972674083 | NPPES |
| Oregon | MEDICAID | 8404915 |
Popular Providers
-
Apland-Curtis, Jan M
1601 E Fourth Plain Blvd Building 17, Vancouver WA 98661-3753 -
Carlson, Jean L
400 Ne Mother Joseph Pl , Vancouver WA 98664-3200 -
Prouse, Jennifer M
400 Ne Mother Joseph Pl , Vancouver WA 98664-3200 -
Holtorf, Susan C.
1603 E Fourth Plain Blvd , Vancouver WA 98661-3753 -
Durek, /Elspeth Mary Joan
8114 Ne 229Th Ct , Vancouver WA 98682-9790 -
Champine, Ila
2525 Ne 139Th St Ste 130 , Vancouver WA 98686-2719 -
Hawkins, Crista M
1601 E Fourth Plain Blvd Building 17, Vancouver WA 98661-3753 -
Belinge, Stephanie Mary
11301 Ne 7Th St. Ff8, Vancouver WA 98684