ALISE FAIRCLOTH
Contractor
Active
Individual
NPI: 1801262589
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Contractor | 171W00000X | Yes | 21439 (OR) |
Frequently Asked Questions
NPI 1801262589 is the National Provider Identifier for ALISE FAIRCLOTH, a Contractor provider located in Beaverton, OR. This NPI was enumerated on August 17, 2015.
ALISE FAIRCLOTH practices at 1921 SW 144TH AVE, Beaverton, OR 97005.
Quick Facts
- NPI
- 1801262589
- Type
- Individual
- Enumerated
- Aug 17, 2015
- Last Updated
- Aug 17, 2015
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