Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Alexandra M Jack, RD

Individual provider Registered Dietitian · NPI 1972674083

Mrs. Alexandra M Jack, RD is a Registered Dietitian in Vancouver, Washington. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2006
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

See every abbreviation used in this directory →

Practice location Address checks out

8716 E Mill Plain Blvd Specialty Clinics Bldg
Vancouver, WA 98664-2531
Phone: (360) 514-7932
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 560 (OR)

Record details

NPI number1972674083
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorYes
NPI enumeratedNovember 11, 2006
Last updated in NPPESOctober 10, 2013
Mailing address8716 E Mill Plain Blvd, Specialty Clinics Building, Vancouver, WA 98664-2531

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