ALISE FAIRCLOTH


Address: 1921 Sw 144th Ave, Beaverton, OR 97005-2356
Phone: 5037046982

ALISE FAIRCLOTH (NPI# 1801262589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801262589
Entity Type Individual
Full Name ALISE FAIRCLOTH
Practice Address 1921 Sw 144th Ave
Beaverton
OR 97005-2356
Practice Telephone 5037046982
Mailing Telephone 5037046982
Enumeration Date 2015-08-17
Last Update Date 2015-08-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171W00000X Contractor 21439 OR Other Service Providers

Office Location

Street Address 1921 SW 144TH AVE
City BEAVERTON
State OR
Zip Code 97005-2356

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154945053 Krista Lowe Schimmelbusch Student in an Organized Health Care Education/Training Program 12730 Sw 3rd St., Beaverton, OR 97005 2020-06-05
1346882578 Mireya Elissa Nunez I Counselor 12665 Sw Center Street, Suite 100, Beaverton, OR 97005 2019-10-09
1548816879 Logan James Patzlaff Behavior Technician 6200 Sw Artic Drive Beaverton, Or 97005, Beaverton, OR 97005 2019-08-13
1528521424 Alex Taylor Foerman Behavior Technician 6200 Sw Arctic Drive Beaverton, Or 97005, Beaverton, OR 97005 2019-04-09
1285193003 Hazelnut Dental LLC Clinic/Center 10773 Sw Beaverton-hillsdale Hwy, Ste B, Beaverton, OR 97005 2019-03-19
1992286348 Kathryn Wallner Counselor 14205 Sw Farmington Road, Suite 160, Beaverton, OR 97005 2018-08-23
1699265058 Meaghan Mikulic Social Worker 14355 Sw Allen Blvd Suite 150, Beaverton, OR 97005 2018-05-11
1629568936 Aimee J Nelson Massage Therapist 10700 Sw Beaverton Hillsdale Hwy Ste 465, Beaverton, OR 97005 2018-05-11
1093221780 Ember Dahl Massage Therapist 12655 Sw Center St Ste 530, Beaverton, OR 97005 2017-12-18
1033667456 Andre Vo Pharmacist 2575 Sw Walker Rd, Beaverton, OR 97005 2016-09-14
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Taxonomy Information

Taxonomy Code 171W00000X
Grouping Other Service Providers
Classification Contractor

Taxonomy Definition

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215568399 Rebecca Callahan Contractor 16979 Sw Steele Way, Beaverton, OR 97006-8935 2020-01-28
1912459488 Jin Hwa Chung Contractor 1649 Sw 173rd Ter, Beaverton, OR 97003-4262 2016-10-31
1467830075 Bassem Marei Contractor 3198 Sw 178th Ave, Marei, Beaverton, OR 97003-4419 2015-05-14
1942542477 Emily Johnson Purry Contractor 18573 Sw Muirfield St, Beaverton, OR 97006-3189 2013-03-22
1871613133 Lisa L Romary Contractor 16545 Nw Somerset Dr, Beaverton, OR 97006-5277 2007-03-30
1619511847 Sabrina Mercedes Trickel Contractor 12655 Sw Center St Ste 100, Beaverton, OR 97005-1600 2019-10-31
1538531652 Chelsi Desjardins Contractor 1975 Nw 167th Pl, Beaverton, OR 97006-4908 2015-10-28
1902232804 John Zurita Contractor 14619 Sw Teal Blvd, Beaverton, OR 97007 2013-09-24
1083901789 Michael Haranzo Contractor 3849 Sw Hall Blvd, Beaverton, OR 97005-2049 2011-07-01
1548472897 Melissa R. Rhines Contractor 11385 Sw Scholls Ferry Rd, Beaverton, OR 97008-7167 2007-05-07
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Competitor

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City BEAVERTON
Zip Code 97005

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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