Healthcare Provider Details

I. General information

NPI: 1346144409
Provider Name (Legal Business Name): MRS. MARIA GUADALUPE HURTADO ROJAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 1171
BREWSTER WA
98812-1171
US

IV. Provider business mailing address

PO BOX 1171
BREWSTER WA
98812-1171
US

V. Phone/Fax

Practice location:
  • Phone: 509-449-3405
  • Fax:
Mailing address:
  • Phone: 509-449-3405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License NumberTRNG.TG.61606120-BDC
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: