Active NPI
Mari Kresge Alexander, PA-C, LMFT
- Physician Assistant
- Hillsboro, OR
National Provider Identifier
1013055995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA01219
- Practice address
- 226 SE 8TH Ave
Hillsboro, OR 97123-4218 - Phone
- (503) 601-7400
- Fax
- (503) 601-7311
- NPI assigned
- Feb 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | T0523 | OR | |
| Physician Assistant | 363A00000X | PA01219 | OR | Primary |
Addresses
Primary practice location
226 SE 8TH Ave
Hillsboro, OR 97123-4218
Mailing address
PO Box 568
Cornelius, OR 97113-0568
Phone (503) 352-8657
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500669279 | Medicaid | OR |
Other names 1
- Mari Elizabeth Riley-Kresge
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T0523 | OR | MD | Marriage & Family Therapist |
| PA01219 | OR | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Garcia Memorial Health Center | Past | Accepting new patients |
Interoperability endpoints
- malexander13472@direct.ochin.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Cornelius, OR
- NPI 1679528012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463616000000",
"number": "1013055995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 568",
"city": "CORNELIUS",
"state": "OR",
"postal_code": "971130568",
"telephone_number": "503-352-8657",
"fax_number": "503-352-8658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "226 SE 8TH AVE",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971234218",
"telephone_number": "503-601-7400",
"fax_number": "503-601-7311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "MARI",
"middle_name": "KRESGE",
"name_prefix": "Ms.",
"credential": "PA-C, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-02",
"last_updated": "2016-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OR",
"license": "T0523",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA01219",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500669279",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARI",
"last_name": "RILEY-KRESGE",
"middle_name": "ELIZABETH",
"credential": "PA-C, LMFT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.