Individual
ALYSIA GRECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
705 ELM ST SW, SUITE 300, ALBANY, OR 97321-1956
(541) 812-4580
(541) 928-3169
Mailing address
PO BOX 1188, CORVALLIS, OR 97339-1188
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA164570
OR
Other
Enumeration date
11/21/2013
Last updated
02/25/2021
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