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NPI 1801262589

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)

Practice location

1921 Sw 144th Ave

Beaverton, OR 97005-2356

Phone: (503) 704-6982

More OR providers

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.

Alise Faircloth — NPI 1801262589, Beaverton, OR | NPI Central