Healthcare Provider Details

I. General information

NPI: 1568305522
Provider Name (Legal Business Name): RILEY MUNIZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 W LEWIS ST
PASCO WA
99301-5472
US

IV. Provider business mailing address

1876 FOWLER ST APT 209
RICHLAND WA
99352-4824
US

V. Phone/Fax

Practice location:
  • Phone: 509-543-6700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSLPA.SP.70109534
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: