Individual provider · Type 1 NPI

Alexis Michelle Supry

Mental Health Counselor · Tigard, OR

NPI number 1831981000 Active

Practice location

8915 SW Center St
Tigard, OR 97223-6307

Call (503) 726-3740 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1831981000

Alexis Michelle Supry's National Provider Identifier is 1831981000, issued on May 21, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tigard, OR. The record was last updated on May 21, 2025.