| Doctor Name: | ALEXANDER RUBIC |
| NPI Number: | 1437551439 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MS, CCC-SLP |
| License Number: | 503482B |
| Business Practice Address: | 11200 Ne Rosewood Ave Vancouver, WA - 986625447 |
| Business Phone Number: | 3606046300 |
| Business Fax Number: | |
| Mailing Address: | 4501 N Concord Ave, PORTLAND |
| State: | OR |
| Postal Code: | 972173352 |
| Phone Number: | 5034811799 |
| Fax Number: | |
| NPI Enumeration Date: | 09/22/2014 |
| NPI Last Update Date: | 09/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 503482B |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |