IndividualActive
Alan Gustafson
NPI 1003392515 · Community Health Worker · Salem, OR
Provider details
- NPI number
- 1003392515
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
4890 32nd Ave Se
Salem, OR 97317-9350
Phone: (503) 588-5647
Fax: (503) 779-1992
Approximate (ZIP-level) locationGet directions
Mailing address
4890 32nd Ave Se
Salem, OR 97317-9350
Registry dates
- Enumerated
- 2018-07-17
- Last updated
- 2018-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.