Healthcare Provider Details

I. General information

NPI: 1700699709
Provider Name (Legal Business Name): MRS. OLGA MUNOZ-GONZALEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2025
Last Update Date: 01/31/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10505 24TH AVE NE #106
SEATLLE WA
98125
US

IV. Provider business mailing address

10505 24TH AVE NE #106
SEATTLE WA
98125
US

V. Phone/Fax

Practice location:
  • Phone: 206-496-6454
  • Fax:
Mailing address:
  • Phone: 206-496-6454
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: