Individual
CLYN ELAN ALIVIO CAGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1623 N 1ST ST, HERMISTON, OR 97838-1106
(458) 300-9014
Mailing address
1623 N 1ST ST, HERMISTON, OR 97838
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209026844
IL
Other
Enumeration date
04/09/2024
Last updated
07/24/2025
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