Johna Alford

Individual provider Active NPI Case Manager/Care Coordinator · Enterprise, OR

NPI 1780179895 · NPPES record last updated Jun 30, 2018

Key facts

NPI
1780179895
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
207 SW 1St St
Enterprise, OR 97828-1203
Phone
(541) 426-4524
NPI assigned
Jun 30, 2018
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
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

207 SW 1St St
Enterprise, OR 97828-1203

Mailing address

PO Box 268
Enterprise, OR 97828-0268
Phone (541) 426-4524

Other providers in Enterprise, OR

All providers in Enterprise, OR · Case Manager/Care Coordinator in Oregon

Sources for this page

Verify at the official NPI Registry.