Alfaro, Russell

Alfaro, Russell is an sole proprietor health care provider with primary practice located at 21806 103Rd Avenue Ct E Ste 101 , Graham WA 98338-8115. He recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as his primary health care specialty. Alfaro, Russell can be contacted via phone (253) 780-6061.

Contact Information

Primary practice address
21806 103Rd Avenue Ct E Ste 101 Graham WA 98338-8115
Phone: (253) 780-6061
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1265199178
LBN Legal business name Alfaro, Russell
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 26th, 2021
Last updated Nov 26th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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