Healthcare Provider Details

I. General information

NPI: 1750199360
Provider Name (Legal Business Name): ALEXANDRA NADINE DUFOE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/28/2024
Last Update Date: 06/27/2025
Certification Date: 06/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 COUNTRY CLUB RD
EUGENE OR
97401-2212
US

IV. Provider business mailing address

601 COUNTRY CLUB RD APT 138
EUGENE OR
97401-2203
US

V. Phone/Fax

Practice location:
  • Phone: 866-293-0041
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC9899
License Number StateOR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: