Healthcare Provider Details

I. General information

NPI: 1912340969
Provider Name (Legal Business Name): CAITLIN SIERRA ALCALA RN, ARNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CAITLIN SIERRA MACLAURIN RN, ARNP-BC

II. Dates (important events)

Enumeration Date: 04/09/2013
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1233 EDGEWATER ST NW
SALEM OR
97304-4049
US

IV. Provider business mailing address

1233 EDGEWATER ST NW
SALEM OR
97304-4049
US

V. Phone/Fax

Practice location:
  • Phone: 503-378-7526
  • Fax: 503-480-1630
Mailing address:
  • Phone: 503-378-7526
  • Fax: 503-480-1630

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number201905526NP-PP
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: