Healthcare Provider Details

I. General information

NPI: 1093501595
Provider Name (Legal Business Name): MR. CLAUDIO MOLINAR DURAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2025
Last Update Date: 04/19/2025
Certification Date: 04/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1959 NE PACIFIC ST BOX 356172
SEATTLE WA
98195-0001
US

IV. Provider business mailing address

212 14TH AVE APT B
SEATTLE WA
98122-5519
US

V. Phone/Fax

Practice location:
  • Phone: 206-450-8744
  • Fax: 206-450-8744
Mailing address:
  • Phone: 206-450-8744
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227800000X
TaxonomyCertified Respiratory Therapist
License NumberLR00003773
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: