Shanon Anne Alexander, MA,LMFT
Individual provider Active NPI Marriage & Family Therapist · Portland, OR
NPI 1508991100 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1508991100
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- T0427 (OR)
- Practice address
- 1500 NE Irving St
Suite 250
Portland, OR 97232-2243 - Phone
- (503) 233-4356
- NPI assigned
- Feb 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T0427 | OR | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | T0427 | OR | Yes |
Addresses
Primary practice location
1500 NE Irving St
Suite 250
Portland, OR 97232-2243
Mailing address
3113 NW Ashland Dr
Beaverton, OR 97006-4664
Phone (503) 531-9607
Other providers in Portland, OR
- Margaret Karoline Alexander
- Nancy L H Alexander
- Philip T Alexander
- Sarah C. Alexander
- Shad W Alexander
- Skylan Alexander
- Suzanne Gardner Alexander
- Taylor Alexander
- Travis Alexander
- Will Khoa Alexander
All providers in Portland, OR · Marriage & Family Therapist in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.