Will Phillip Alarid
Individual provider Active NPI Case Manager/Care Coordinator · Portland, OR
NPI 1164556890 · NPPES record last updated Jun 28, 2011
Key facts
- NPI
- 1164556890
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 15616 SE Division St # 3
Portland, OR 97236-2002 - Phone
- (541) 760-3901
- NPI assigned
- Mar 15, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes | ||
| Adult Companion | 372600000X |
Addresses
Primary practice location
15616 SE Division St # 3
Portland, OR 97236-2002
Mailing address
15616 SE Division St # 3
Portland, OR 97236-2002
Phone (541) 760-3901
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.