Provider Demographics
NPI:1912949694
Name:ALEXANDER, NANCY L H (AUD)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:L H
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:L
Other - Last Name:HENSON-ATOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-A
Mailing Address - Street 1:2222 NW LOVEJOY ST
Mailing Address - Street 2:SUITE 607
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97210-3033
Mailing Address - Country:US
Mailing Address - Phone:503-222-3638
Mailing Address - Fax:503-223-5139
Practice Address - Street 1:3600 N INTERSTATE AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97227-1106
Practice Address - Country:US
Practice Address - Phone:035-331-6396
Practice Address - Fax:503-331-6051
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR22638231H00000X
ORHASP10114693237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter