Provider Demographics
NPI:1285867382
Name:BARKER, ALEXIS A (MT-BC)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:A
Last Name:BARKER
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:ALEXIS
Other - Middle Name:A
Other - Last Name:BARKER ALMURIANI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MT-BC
Mailing Address - Street 1:20595 SW DELINE ST
Mailing Address - Street 2:
Mailing Address - City:ALOHA
Mailing Address - State:OR
Mailing Address - Zip Code:97007-2812
Mailing Address - Country:US
Mailing Address - Phone:503-887-9298
Mailing Address - Fax:
Practice Address - Street 1:20595 SW DELINE ST
Practice Address - Street 2:
Practice Address - City:ALOHA
Practice Address - State:OR
Practice Address - Zip Code:97007-2812
Practice Address - Country:US
Practice Address - Phone:503-887-9298
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-24
Last Update Date:2009-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR06294225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist