Healthcare Provider Details

I. General information

NPI: 1104738434
Provider Name (Legal Business Name): LILIANA OLIVIA ROJAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 STEWART ST STE 300
SEATTLE WA
98101-1257
US

IV. Provider business mailing address

5240 S PUGET SOUND AVE APT 5
TACOMA WA
98409-4303
US

V. Phone/Fax

Practice location:
  • Phone: 360-569-3600
  • Fax:
Mailing address:
  • Phone: 253-844-0741
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: