Provider Demographics
NPI:1295617678
Name:GARCIA CASTANEDA, NAYELY IVETTE
Entity type:Individual
Prefix:
First Name:NAYELY
Middle Name:IVETTE
Last Name:GARCIA CASTANEDA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3344 AGA RD UNIT D5
Mailing Address - Street 2:
Mailing Address - City:HOOD RIVER
Mailing Address - State:OR
Mailing Address - Zip Code:97031-9467
Mailing Address - Country:US
Mailing Address - Phone:541-400-7213
Mailing Address - Fax:
Practice Address - Street 1:2920 SE BROOKWOOD AVE STE A
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123-8553
Practice Address - Country:US
Practice Address - Phone:971-417-6054
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR114343172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker