Provider Demographics
NPI:1720374408
Name:MCLAUGHRY, ALEXANDRA MARY (MVB)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:MARY
Last Name:MCLAUGHRY
Suffix:
Gender:F
Credentials:MVB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4540 SW CAMERON RD
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97221-2918
Mailing Address - Country:US
Mailing Address - Phone:360-835-0850
Mailing Address - Fax:
Practice Address - Street 1:416 NE 112TH AVE
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98684-5018
Practice Address - Country:US
Practice Address - Phone:360-892-0032
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-21
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAVT00007420174M00000X
OR6742174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian