Provider Demographics
NPI:1952912511
Name:GLOOR, ALEXANDRA MAE (FNP)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:MAE
Last Name:GLOOR
Suffix:
Gender:
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:257 NW HILLCREST DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:OR
Mailing Address - Zip Code:97338-1030
Mailing Address - Country:US
Mailing Address - Phone:845-594-2187
Mailing Address - Fax:
Practice Address - Street 1:180 ATWATER ST N
Practice Address - Street 2:
Practice Address - City:MONMOUTH
Practice Address - State:OR
Practice Address - Zip Code:97361-1801
Practice Address - Country:US
Practice Address - Phone:503-606-3287
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-16
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA291078363LF0000X
OR202206138NP-PP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily