NPI 1003602616
Alexis E Lisle, QMHA
Practice location
- Address
- 1785 NE Sandy Blvd STE 270, Portland, OR 97232-2791
- Phone
- (971) 940-2601
Registered specialties
Student in an Organized Health Care Education/Training Program
Primary
Registry record
- NPI
- 1003602616
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 18 Apr 2025
- Record last updated
- 18 Apr 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.