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NPI 1194253971

IndividualActive

Alexis Kikes, EFDA

NPI 1194253971 · Dental Assistant · Portland, OR

Provider details

NPI number: 1194253971
Entity type: Individual
Primary specialty: Dental AssistantDental Providers
Credential: EFDA
Sex: Female
Sole proprietor: Yes
License: 119194 (OR)

Practice location

10102 Ne Glisan St

Portland, OR 97220-4456

Phone: (503) 257-5959

More OR providers

Mailing address

10102 Ne Glisan St

Portland, OR 97220-4456

Registry dates

Enumerated: 2017-05-24
Last updated: 2017-05-24

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Alexis Kikes, EFDA — NPI 1194253971, Portland, OR | NPI Central