Individual
JOHNNIE ALVARADO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 E 3RD ST, THE DALLES, OR 97058-2562
(541) 298-2101
Mailing address
401 E 3RD ST, THE DALLES, OR 97058-2562
(541) 298-2101
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/05/2018
Last updated
07/05/2018
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