Rene Alton

Individual provider Active NPI Personal Care Attendant · Portland, OR

NPI 1457022980 · NPPES record last updated Sep 23, 2021

Key facts

NPI
1457022980
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
18766 SE Stark St
Portland, OR 97233-5330
Phone
(503) 243-2236
NPI assigned
Sep 23, 2021
Sex
Female
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)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

18766 SE Stark St
Portland, OR 97233-5330

Mailing address

18766 SE Stark St
Portland, OR 97233-5330
Phone (503) 243-2236

Other providers in Portland, OR

All providers in Portland, OR · Personal Care Attendant in Oregon

Sources for this page

Verify at the official NPI Registry.