Individual
MS. MELISSA ALVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, PHARMD
Contact information
Practice address
1515 E COLUMBIA ST, OTHELLO, WA 99344-1846
(509) 488-5256
(509) 488-9939
Mailing address
1515 E COLUMBIA ST, OTHELLO, WA 99344-1846
(509) 488-5256
(509) 488-9939
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH00056880
WA
363A00000X
Physician Assistant
Primary
PA10004689
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0142154
WA STATE DL&I #
WA
05
—
8416547
—
WA
Enumeration date
11/09/2006
Last updated
05/03/2021
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