Provider Demographics
NPI:1477912780
Name:ALEX, DOROTHY JEAN (CADC II, CRM)
Entity type:Individual
Prefix:
First Name:DOROTHY
Middle Name:JEAN
Last Name:ALEX
Suffix:
Gender:F
Credentials:CADC II, CRM
Other - Prefix:
Other - First Name:DOROTHY
Other - Middle Name:JEAN
Other - Last Name:ALEX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSS
Mailing Address - Street 1:10117 SE SUNNYSIDE RD
Mailing Address - Street 2:SUITE F1217
Mailing Address - City:CLACKAMAS
Mailing Address - State:OR
Mailing Address - Zip Code:97015
Mailing Address - Country:US
Mailing Address - Phone:503-740-6449
Mailing Address - Fax:503-771-2436
Practice Address - Street 1:9123 SE ST HELENS ST
Practice Address - Street 2:SUITE 100F
Practice Address - City:CLACKAMAS
Practice Address - State:OR
Practice Address - Zip Code:97015
Practice Address - Country:US
Practice Address - Phone:503-740-6449
Practice Address - Fax:503-771-2436
Is Sole Proprietor?:No
Enumeration Date:2016-02-15
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR175T00000X
101YA0400X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No175T00000XOther Service ProvidersPeer Specialist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health