Healthcare Provider Details

I. General information

NPI: 1588579239
Provider Name (Legal Business Name): ALEXIS ARREOLA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3015 NE WEST DEVILS LAKE RD
LINCOLN CITY OR
97367-5131
US

IV. Provider business mailing address

3015 NE WEST DEVILS LAKE RD
LINCOLN CITY OR
97367-5131
US

V. Phone/Fax

Practice location:
  • Phone: 541-994-8911
  • Fax:
Mailing address:
  • Phone: 541-994-8911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ALEXIS ARREOLA
Title or Position: PROVIDER
Credential: DNP, FNP-C
Phone: 760-235-5455