NPI 1003392515

Alan Keith Gustafson

Practitioner Community Health Worker Salem, OR

Practice location

Address: 4890 32nd Ave SE, Salem, OR 97317-9350
Phone: (503) 588-5647
Fax: (503) 779-1992

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Oregon →

Registry record

NPI: 1003392515
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jul 2018
Record last updated: 17 Jul 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.