Individual provider · Type 1 NPI
Jose Luis Diaz, MA6056739
Specialist · Tumwater, WA
NPI number
1265815260
Active
Practice location
2330 Mottman Rd SW, Suite 106
Tumwater, WA 98512-6232
Mailing address
312 Yauger Way NW #104
Olympia, WA 98502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MA 6056739 (WA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4 other providers at this address
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- Carrie Lynn Anguiano, LMPSpecialist Tumwater, WA NPI 1063615748
- Alicia Leandra Gonzales, LMPSpecialist Tumwater, WA NPI 1083946768
- Rebecca NevingerSpecialist Tumwater, WA NPI 1124435383
- Lorelei Randall, L.M.P.Specialist Tumwater, WA NPI 1154536225
- Jessika Renee Everson, L.M.P.Specialist Tumwater, WA NPI 1215260336
About NPI 1265815260
Jose Luis Diaz, MA6056739's National Provider Identifier is 1265815260, issued on Jul 8, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Tumwater, WA. The record was last updated on Jul 8, 2015.