IndividualActive
Alise Faircloth
NPI 1801262589 · Contractor · Beaverton, OR
Provider details
- NPI number
- 1801262589
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 21439 (OR)
Mailing address
1921 Sw 144th Ave
Beaverton, OR 97005-2356
Registry dates
- Enumerated
- 2015-08-17
- Last updated
- 2015-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.