Individual
ALYSSA ITZEL PENA ALONZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
2645 PORTLAND RD NE STE 120, SALEM, OR 97301-0200
(503) 390-5637
(503) 393-3135
Mailing address
1559 WILLOW AVE, WOODBURN, OR 97071-2154
(971) 983-9811
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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