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NPI Code Detail

MEDICARE: GUADALUPE AGUIRRE VALENCIA

MEDICARE: GUADALUPE AGUIRRE VALENCIA
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
1175T00000XPeer SpecialistWA

General Provider Information

NPI Number : 1114872058
Entity Type Code : Individual
Provider Name (Legal Business Name) : GUADALUPE AGUIRRE VALENCIA
Provider Business Mailing Address
First Line : 4111 ALDERWOOD MALL BLVD
Second Line :
City : LYNNWOOD
State : WA
Zip : 98036-6765
Country : US
Telephone Number : 425-977-2560
Fax Number : 425-977-2561
Provider Business Practice Location Address
First Line : 4111 ALDERWOOD MALL BLVD
Second Line :
City : LYNNWOOD
State : WA
Zip : 98036-6765
Country : US
Telephone Number : 425-977-2560
Fax Number : 425-977-2561
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2026
Last Update Date : 03/04/2026

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Directions to “ GUADALUPE AGUIRRE VALENCIA ” Practice Location

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