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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RUSSELL ALFARO

Active Sole Proprietor

RUSSELL ALFARO is a Multi-Specialty Clinic healthcare provider located in GRAHAM, Washington. NPI 1265199178 is currently active in the NPPES registry. Verify at CMS.

Multi-Specialty Clinic · GRAHAM, WA

Registration Details

NPI Number
1265199178
Provider Type
Individual
Gender
Male
NPI Issued
Nov 26, 2021 (4.7259623599911 yrs)
Last Updated
Nov 26, 2021
Sole Proprietor
Yes

Practice Information

Address
21806 103RD AVENUE CT E STE 101
GRAHAM, WA, 983388115
Browse WA providers · Browse ZIP 98338
Phone
2537806061
Primary Specialty
Multi-Specialty Clinic
261QM1300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.