ALISE FAIRCLOTH

specializing in contractor in Beaverton, Oregon

NPI: 1801262589

Provider Type

1

Practice Locations

Mailing Location

1921 SW 144TH AVE

BEAVERTON, OR 97005

📞 5037046982

Practice Location

1921 SW 144TH AVE

BEAVERTON, OR 97005

📞 5037046982

Provider Information

Gender:F
Sole Proprietor:Yes
Enumeration Date:8/17/2015
Last Updated:8/17/2015

Credentials

Primary Credential:
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