Provider Demographics
NPI:1144108671
Name:EFRAIMSON, ALEXA (MS, RD)
Entity type:Individual
Prefix:
First Name:ALEXA
Middle Name:
Last Name:EFRAIMSON
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:ALEXA
Other - Middle Name:
Other - Last Name:GUSMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3627 NW 24TH CIR
Mailing Address - Street 2:
Mailing Address - City:CAMAS
Mailing Address - State:WA
Mailing Address - Zip Code:98607-8895
Mailing Address - Country:US
Mailing Address - Phone:503-708-0618
Mailing Address - Fax:
Practice Address - Street 1:3627 NW 24TH CIR
Practice Address - Street 2:
Practice Address - City:CAMAS
Practice Address - State:WA
Practice Address - Zip Code:98607-8895
Practice Address - Country:US
Practice Address - Phone:503-708-0618
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-22
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered