Del Rio, Graciela
Del Rio, Graciela is an individual health care provider with primary practice located at 4011 Talbot Rd S , Renton WA 98055-5791. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Del Rio, Graciela can be contacted via phone (425) 656-5300.Contact Information
Primary practice address
4011 Talbot Rd S
Renton WA 98055-5791
Phone: (425) 656-5300
Fax: (425) 656-5402
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | MD00025780 | Washington |
Profile Details
| NPI number | 1174518245 |
|---|---|
| LBN Legal business name | Del Rio, Graciela |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2005 |
| Last updated | Jul 9th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174518245 | NPPES |
| Washington | MEDICAID | 1059138 | |
| Washington | Other | DE5931 |
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