NPI 1497733596 · live from the CMS NPI Registry
Jan Snyder Alexander, LCSW
Social Worker, Clinical in Portland, OR. National Provider Identifier 1497733596, active.
NPI record
| NPI | 1497733596 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 1210 Se Oak St, Suite 5, Portland, OR 97214 |
| Practice phone | 503-804-1627 |
| Mailing address | 28 Se 28th Avenue, Condo 202, Portland, OR 97214 |
| Enumerated | January 9, 2006 |
| Last updated | November 20, 2016 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | L5192 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.