Healthcare Provider Details

I. General information

NPI: 1841883501
Provider Name (Legal Business Name): ALEXIS ALI PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/14/2021
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10700 SW BEAVERTON HILLSDALE HWY STE 560
BEAVERTON OR
97005-4791
US

IV. Provider business mailing address

10700 SW BEAVERTON HILLSDALE HWY STE 560
BEAVERTON OR
97005-4791
US

V. Phone/Fax

Practice location:
  • Phone: 971-407-1230
  • Fax: 866-346-3431
Mailing address:
  • Phone: 971-407-1230
  • Fax: 866-346-3431

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP61147691
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number202101700NP-PP
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: