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NPI Code Detail

MEDICARE: EDWARDO M COLLAZO JR.

MEDICARE:   EDWARDO M COLLAZO JR.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1146L00000XParamedicWA

General Provider Information

NPI Number : 1073469581
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDWARDO M COLLAZO JR.
Provider Business Mailing Address
First Line : 16310 NE 12TH CT APT A2
Second Line :
City : BELLEVUE
State : WA
Zip : 98008-3638
Country : US
Telephone Number : 505-702-9308
Fax Number :
Provider Business Practice Location Address
First Line : 16310 NE 12TH CT APT A2
Second Line :
City : BELLEVUE
State : WA
Zip : 98008-3638
Country : US
Telephone Number : 505-702-9308
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2026
Last Update Date : 03/06/2026

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Directions to “ EDWARDO M COLLAZO JR. ” Practice Location

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