NPI 1093632374

Alexander Soren Tavares

Practitioner Community Health Worker Idaho Falls, ID

Practice location

Address: 2265 W Broadway St, Idaho Falls, ID 83402-2996
Phone: (208) 524-7400
Fax: (208) 524-8004

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Idaho →

Registry record

NPI: 1093632374
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jun 2026
Record last updated: 30 Jun 2026

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.