Thacker, Alexandria Raene
Thacker, Alexandria Raene is an individual health care provider with primary practice located at 12115 Sw 70Th Ave Ste 202 , Tigard OR 97223-9648. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Thacker, Alexandria Raene can be contacted via phone (503) 404-2338.Contact Information
Primary practice address
12115 Sw 70Th Ave Ste 202
Tigard OR 97223-9648
Phone: (503) 404-2338
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP61370661 | Washington |
Profile Details
| NPI number | 1205568300 |
|---|---|
| LBN Legal business name | Thacker, Alexandria Raene |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2022 |
| Last updated | Nov 22nd, 2022 - about 2 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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