Healthcare Provider Details

I. General information

NPI: 1942114210
Provider Name (Legal Business Name): KARLA REBECCA TORRES FUENTES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3001 22ND AVE W
SEATTLE WA
98199-2918
US

IV. Provider business mailing address

3001 22ND AVE W
SEATTLE WA
98199-2918
US

V. Phone/Fax

Practice location:
  • Phone: 206-650-1865
  • Fax:
Mailing address:
  • Phone: 206-650-1865
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License NumberBDC.BD.70175444
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: