Healthcare Provider Details

I. General information

NPI: 1225952518
Provider Name (Legal Business Name): ALEXANDRA CUAJAO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 07/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

702 JOHN ADAMS ST
OREGON CITY OR
97045-1955
US

IV. Provider business mailing address

15215 SE ARISTA DR
MILWAUKIE OR
97267-2654
US

V. Phone/Fax

Practice location:
  • Phone: 503-730-1469
  • Fax:
Mailing address:
  • Phone: 707-299-9655
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: