Healthcare Provider Details

I. General information

NPI: 1841354248
Provider Name (Legal Business Name): LYNN ALVAREZ DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/20/2006
Last Update Date: 04/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 PLAGEMAN BLDG
CORVALLIS OR
97331-8567
US

IV. Provider business mailing address

201 PLAGEMAN BLDG
CORVALLIS OR
97331-8567
US

V. Phone/Fax

Practice location:
  • Phone: 541-737-9355
  • Fax: 541-737-4530
Mailing address:
  • Phone: 541-737-9355
  • Fax: 541-737-4530

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberDO23335
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: