RUSSELL ALFARO NPI 1265199178

NPI Information

NPI: 1265199178
Provider Name: RUSSELL ALFARO
Classification: Clinic/Center - 261QM1300X
Entity Type: Individual

Specialization: Multi-Specialty

Address:
21806 103RD AVENUE CT E STE 101
GRAHAM, WA
ZIP 98338
Phone: (253) 780-6061
Get Directions

Russell Alfaro is a multi-specialty clinic center in Graham, WA. Russell Alfaro NPI is 1265199178. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

21806 103RD AVENUE CT E STE 101
GRAHAM, WA
ZIP 98338-115
Phone: (253) 780-6061

The enumeration date for this NPI number is 11/26/2021 and was last updated on 11/26/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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