Individual provider · Type 1 NPI

Marielys Portal Crespo

Student in an Organized Health Care Education/Training Program · Tacoma, WA

NPI number 1154214682 Active

Practice location

1202 Martin Luther King Jr Way
Tacoma, WA 98405-3926

Call (253) 441-4742 Map

Mailing address

16431 Blatt Blvd Apt 102
Weston, FL 33326-1841

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1154214682

Marielys Portal Crespo's National Provider Identifier is 1154214682, issued on Jun 2, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tacoma, WA. The record was last updated on Jun 2, 2025.