Search › Oregon › 122300000X
Alexis Ly, DMD
NPI 1255492518 · on the registry since 2006
Practice
- Address
- 4104 Se 82nd Avenue
Portland, OR 97266 - Phone
- (503) 771-4324
- Fax
- (503) 771-4458
- Organisation at this address
- Providence Health & Services - Oregon
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 34
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon