Provider Demographics
NPI:1568265536
Name:SHEPPERT, ALEXANDER PEARSON (DO, PHD, MBA)
Entity type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:PEARSON
Last Name:SHEPPERT
Suffix:
Gender:
Credentials:DO, PHD, MBA
Other - Prefix:DR
Other - First Name:ALEX
Other - Middle Name:
Other - Last Name:SHEPPERT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO, PHD, MBA
Mailing Address - Street 1:3011 NE 115TH CIR
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98686-3948
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2211 NE 139TH ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98686-2742
Practice Address - Country:US
Practice Address - Phone:360-397-1985
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-27
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program