MEDICARE: ALEX LAZAR PCA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	C9905	OR

General Provider Information

NPI Number	:	1417779760
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEX LAZAR PCA

Provider Business Mailing Address
First Line	:	502 SE 69TH AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97215-2112
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 NE IRVING ST STE 210
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97232-2243
Country	:	US
Telephone Number	:	503-208-6092
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2024
Last Update Date	:	12/18/2025

Similar Medicare Providers

1831924208 — RAMLA DEEQ PMHNP-BC
Practice Location Address:

1500 NE IRVING ST
PORTLAND, OR
97232-2243

Practice Phone: 503-567-6503
Practice Fax: 458-201-6966

1003538141 — CAITLYN EID
Practice Location Address:

1500 NE IRVING ST STE 210
PORTLAND, OR
97232-2243

Practice Phone: 971-220-5846
Practice Fax:

1447331640 — MS. MANDY MICHELE MILLER MFTI
Practice Location Address:

1500 NE IRVING ST STE 210
PORTLAND, OR
97232-2243

Practice Phone: 154-517-2380
Practice Fax:

1952451841 — MR. ANDREW TODD MCWILLIAMS
Practice Location Address:

1500 NE IRVING ST , 250
PORTLAND, OR
97232-2243

Practice Phone: 503-233-4356
Practice Fax:

1083757082 — JUDITH R DALE R.N., C
Practice Location Address:

1500 NE IRVING ST , SUITE 250
PORTLAND, OR
97232-2243

Practice Phone: 503-233-4356
Practice Fax:

1639212632 — VICTORIA FELLINGHAM MSW
Practice Location Address:

1500 NE IRVING ST , SUITE 250
PORTLAND, OR
97232-2243

Practice Phone: 503-233-4356
Practice Fax:

Directions to “ ALEX LAZAR PCA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.