Healthcare Provider Details

I. General information

NPI: 1932032943
Provider Name (Legal Business Name): ANGEL ALVAREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 MAIN ST
KLAMATH FALLS OR
97601-5810
US

IV. Provider business mailing address

901 MAIN ST
KLAMATH FALLS OR
97601-5810
US

V. Phone/Fax

Practice location:
  • Phone: 541-321-0982
  • Fax: 541-321-0982
Mailing address:
  • Phone: 541-321-0982
  • Fax: 541-321-0982

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: