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Alicia Banister
NPI 1649668138 · on the registry since 2015
Practice
- Address
- 3930 Se Ivon St
Portland, OR 97202 - Phone
- (503) 893-2067
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 225700000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-08-24
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