Healthcare Provider Details

I. General information

NPI: 1619788577
Provider Name (Legal Business Name): SONYA GUARINO FNP-C, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SONYA MERAZ

II. Dates (important events)

Enumeration Date: 01/18/2025
Last Update Date: 01/18/2025
Certification Date: 01/18/2025
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

612 MT PITT ST
KLAMATH FALLS OR
97601-1246
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number10027975
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: