Individual
LACEY ARIEL ALVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1860 TOLIVER RD, MOLALLA, OR 97038-7395
(971) 222-9422
Mailing address
1860 TOLIVER RD, MOLALLA, OR 97038-7395
(971) 222-9422
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201509008RN
OR
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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