Healthcare Provider Details

I. General information

NPI: 1871442699
Provider Name (Legal Business Name): ALVARO EDUARDO GARAY
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/26/2026
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2821 DAGGETT AVE STE 200
KLAMATH FALLS OR
97601-1130
US

IV. Provider business mailing address

2821 DAGGETT AVE STE 200
KLAMATH FALLS OR
97601-1130
US

V. Phone/Fax

Practice location:
  • Phone: 541-274-8400
  • Fax: 541-274-8405
Mailing address:
  • Phone: 541-274-8400
  • Fax: 541-274-8405

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number10058844
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: