Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALISE FAIRCLOTH
Active Sole ProprietorALISE FAIRCLOTH is a Contractor healthcare provider located in BEAVERTON, Oregon. NPI 1801262589 is currently active in the NPPES registry. Verify at CMS.
Contractor · BEAVERTON, OR
Registration Details
- NPI Number
- 1801262589
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 17, 2015 (10.991822871571 yrs)
- Last Updated
- Aug 17, 2015
- License
-
21439 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1921 SW 144TH AVEBEAVERTON, OR, 970052356Browse OR providers · Browse ZIP 97005
- Phone
- 5037046982
- Primary Specialty
-
Contractor
171W00000X
Other Contractor Providers in BEAVERTON, OR
| Name | Credential | NPI |
|---|---|---|
| MICHAEL PATRICK COLLINS | LMT | 1033249339 |
| STEFAN FURST | — | 1760514244 |
| MS. LISA L ROMARY | LMT | 1871613133 |
| MRS. MARY ELIZABETH BROOKS-VERSCHINGEL | LMT | 1467677146 |
| MELISSA R. RHINES | L.M.T. | 1548472897 |
| MICHAEL HARANZO | — | 1083901789 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.