Individual
LYNDA S ALFONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
530 NW 27TH ST, CORVALLIS, OR 97330-5223
(541) 766-6835
(541) 766-6186
Mailing address
PO BOX 579, CORVALLIS, OR 97339-0579
(541) 766-6835
(541) 766-6186
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
200541884RN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200541884RN
REGISTERED NURSE
OR
Enumeration date
10/28/2008
Last updated
10/28/2008
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