Provider Demographics
NPI:1477154219
Name:ALVAREZ, JOSHUA F
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:F
Last Name:ALVAREZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4518 DESERT DR
Mailing Address - Street 2:
Mailing Address - City:PASCO
Mailing Address - State:WA
Mailing Address - Zip Code:99301-9413
Mailing Address - Country:US
Mailing Address - Phone:509-591-8777
Mailing Address - Fax:509-380-9444
Practice Address - Street 1:4518 DESERT DR
Practice Address - Street 2:
Practice Address - City:PASCO
Practice Address - State:WA
Practice Address - Zip Code:99301-9413
Practice Address - Country:US
Practice Address - Phone:509-591-8777
Practice Address - Fax:509-380-9444
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-06
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC14677171R00000X
WASC9913171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171R00000XOther Service ProvidersInterpreterGroup - Single Specialty