Alex J Ricketts, PHD

NPI #1336162353 in Beaverton, Oregon

Provider Information

NPI Number: 1336162353
Entity Type: Individual
Name: Alex J Ricketts, PHD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PHD
Enumeration Date: Jul 25, 2006
Last Updated: Aug 1, 2022

Practice Location

Address: 16110 SW REGATTA LN
City: Beaverton
State: Oregon
ZIP Code: 97006-8942
Phone: (503) 533-7166

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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