Kathryn Alvarado-Rose

Individual provider Active NPI Community Health Registered Nurse · Prineville, OR

NPI 1184124455 · NPPES record last updated Feb 13, 2018

Key facts

NPI
1184124455
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Registered Nurse 163WC1500X
License
201341255RN (OR)
Practice address
375 NW Beaver St Ste 100
Prineville, OR 97754-1802
Phone
(541) 447-5165
NPI assigned
Feb 13, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
201341255RNORMDCommunity Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 201341255RN OR Yes

Addresses

Primary practice location

375 NW Beaver St Ste 100
Prineville, OR 97754-1802

Mailing address

19595 Tokatee Lake CT
Bend, OR 97702-9157
Phone (775) 762-0823

Other names

  • Kathryn Alvarado Former name

Other providers in Prineville, OR

All providers in Prineville, OR · Community Health Registered Nurse in Oregon

Sources for this page

Verify at the official NPI Registry.