CLYN ELAN ALIVIO CAGAS

HERMISTON, OR
NPI1811740855
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: IL  209026844)
Enumeration Date2024-04-09
Last Update Date2025-07-24
Business Address
CLYN ELAN ALIVIO CAGAS
1623 N 1ST ST
HERMISTON, OR 97838-1106
Phone number: 458-300-9014
Mailing Address
CLYN ELAN ALIVIO CAGAS
1623 N 1ST ST
HERMISTON, OR 97838
Phone number: