Alvin H. L. Ahlstrom, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

H3579 Issued in OR

Practice address

1201 NE 7TH St
Suite E
Grants Pass, OR 97526-1451

Phone

(541) 479-6356

NPI assigned

Aug 18, 2011

Last updated

Aug 18, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313625600000",
    "number": "1427338797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5713 FISH HATCHERY RD",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975279591",
            "telephone_number": "541-472-9354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 NE 7TH ST",
            "address_2": "SUITE E",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261451",
            "telephone_number": "541-479-6356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHLSTROM",
        "first_name": "ALVIN",
        "middle_name": "H. L.",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-18",
        "last_updated": "2011-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "OR",
            "license": "H3579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advantage Home Care, Inc.
• Dalenna Aguilar, OT
• Liliana Rosario Aguilar
• Richard Aguilera
• Aaron Victor Aguirre
• Crystal Ahlstrom
• Hala Mohamed Aly Ahmed, MD
• Albertsons LLC (Sav-On Pharmacy #3541)
• David S Albrecht, D.C.
• Susan Lara Albright, ANP

• Dental Hygienist in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Dental Hygienist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.