Provider Demographics
NPI:1073836805
Name:AIGER, ALEXIS STORMS
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:STORMS
Last Name:AIGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALEXIS
Other - Middle Name:STORMS
Other - Last Name:SURGEON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6459 FROST ST
Mailing Address - Street 2:
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97035-4611
Mailing Address - Country:US
Mailing Address - Phone:503-250-1948
Mailing Address - Fax:
Practice Address - Street 1:6459 FROST ST
Practice Address - Street 2:
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97035-4611
Practice Address - Country:US
Practice Address - Phone:503-250-1948
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-08
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC4300101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional