Provider Demographics
NPI:1235566894
Name:BARTON, ALEXANDRA S (LMT)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:S
Last Name:BARTON
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3649 SE 33RD AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97202-3025
Mailing Address - Country:US
Mailing Address - Phone:541-231-4945
Mailing Address - Fax:
Practice Address - Street 1:5005 NE 13TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97211-5079
Practice Address - Country:US
Practice Address - Phone:503-473-8515
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-27
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist