Most Relevant Information
Provider Data
NPI Number: | 1003558206 |
Provider Name: | ALEXA M LYON MD |
Entity Type: | Individual |
Taxonomy Code: | 390200000X |
Specialty: | Student in an Organized Health Care Education/Training Program |
License Number: |
Most Important Dates
Enumeration Date: | 04/08/2022 |
Last Updated: | 04/08/2022 |
Provider Practice Location
3181 SW SAM JACKSON PARK RD
PORTLAND
OR
972393011
Practice Location Phone/Fax
Phone: | 5034948311 |
Fax: |
Provider Mailing Location
3181 SW SAM JACKSON PARK RD
PORTLAND
OR
972393011
Provider Mailing Phone/Fax
Phone: | 5034948211 |
Fax: |