Provider Demographics
NPI:1437421526
Name:ALVARADO, MELISSA L (CTR)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:L
Last Name:ALVARADO
Suffix:
Gender:F
Credentials:CTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8712 NE 86TH ST
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98662-2453
Mailing Address - Country:US
Mailing Address - Phone:509-901-0585
Mailing Address - Fax:
Practice Address - Street 1:8712 NE 86TH ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98662-2453
Practice Address - Country:US
Practice Address - Phone:509-901-0585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-03
Last Update Date:2012-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
20080051744R1103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744R1103XOther Service ProvidersSpecialistResearch Data Abstracter/Coder