Whalio Doctors

NPI 1013215912

Alexis Mutchler, LMT

Practitioner Specialist Portland, OR

Practice location

Address
9055 SW Beaverton-Hillsdale Hwy A, Portland, OR 97225-2438
Phone
(503) 644-4664
Fax
(503) 644-9005
Mailing address
9055 SW Beaverton Hillsdale Hwy STE a, Portland, OR 97225-2438

Registered specialties

Specialist Primary
Other Service Providers Taxonomy 174400000X Licence 16313 (OR)

Registry record

NPI
1013215912
Entity type
Individual
Sex (as registered)
Female
NPI issued
2 Mar 2011
Record last updated
2 Mar 2011

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.