Provider Demographics
NPI:1740314871
Name:RANKIN, ALEXANDER C (MS, LPC, LMFT)
Entity type:Individual
Prefix:MR
First Name:ALEXANDER
Middle Name:C
Last Name:RANKIN
Suffix:
Gender:M
Credentials:MS, LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12208 NW CORNELL RD
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97229-5612
Mailing Address - Country:US
Mailing Address - Phone:503-568-1510
Mailing Address - Fax:
Practice Address - Street 1:12208 NW CORNELL RD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97229-5612
Practice Address - Country:US
Practice Address - Phone:503-568-1510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC5919101YP2500X
ORT2054106H00000X
ORT1760106H00000X
ORC6631101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist