Russell Alfaro
Russell Alfaro is a Multi-Specialty Clinic/Center in Graham, Washington. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
21806 103rd Avenue Ct E Ste 101Graham, WA 98338-8115
Phone: (253) 780-6061
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Multi-Specialty Clinic/Center (primary) | Taxonomy 261QM1300X |
|---|
Record details
| NPI number | 1265199178 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 26, 2021 |
| Last updated in NPPES | November 26, 2021 |
| Certification date | November 26, 2021 |
| Mailing address | 21806 103rd Avenue Ct E Ste 101, Graham, WA 98338-8115 |
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