Individual
FEDOR JOSE ALVARADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
2740 SE POWELL BLVD, PORTLAND, OR 97202-2069
(503) 839-1851
Mailing address
2740 SE POWELL BLVD, PORTLAND, OR 97202-2069
(503) 839-1851
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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