Name: | Alix Fredrickson |
Specialization: | Ambulatory Care |
Credentials: | RPH |
Gender: | Female |
Location: | 5717 Ne 138th Ave, Portland, Oregon, 97230-3409 |
Phone: | 503-261-7541 |
Fax: | 503-261-2048 |
NPI Number: | 1710169396 |
NPI Enumeration Date: | 05 Dec, 2007 |
NPI Last Update On: | 24 Oct, 2015 |
Specialization | License Number | State | Status | |
Ambulatory Care | 9207 | Oregon | Primary | |
Ambulatory Care | PH 60225852 | Washington | Secondary |
Address: | 5717 Ne 138th Ave, Portland, Oregon |
Zip: | 97230-3409 |
Phone Number: | 503-261-7541 |
Fax Number: | 503-261-2048 |