Individual
KATHRYN ALVARADO-ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
375 NW BEAVER ST STE 100, PRINEVILLE, OR 97754-1802
(541) 447-5165
Mailing address
19595 TOKATEE LAKE CT, BEND, OR 97702-9157
(775) 762-0823
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
201341255RN
OR
Other
Enumeration date
02/13/2018
Last updated
02/13/2018
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