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NPI Code Detail

MEDICARE: KIARA MARIN CASTRO

MEDICARE: KIARA MARIN CASTRO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1306417597
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIARA MARIN CASTRO
Provider Business Mailing Address
First Line : 3729 KLINDT DR
Second Line :
City : THE DALLES
State : OR
Zip : 97058-3566
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3729 KLINDT DR
Second Line :
City : THE DALLES
State : OR
Zip : 97058-3566
Country : US
Telephone Number : 541-298-2101
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2021
Last Update Date : 01/08/2026

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Directions to “ KIARA MARIN CASTRO ” Practice Location

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