Healthcare Provider Details

I. General information

NPI: 1770302630
Provider Name (Legal Business Name): DANIA LARIOS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANIA LIZENDI LARIOS QUEVEDO

II. Dates (important events)

Enumeration Date: 10/08/2024
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

918 E MEAD AVE
YAKIMA WA
98903-3720
US

IV. Provider business mailing address

602 SWEETHEART PL
GRANDVIEW WA
98930-1471
US

V. Phone/Fax

Practice location:
  • Phone: 509-453-1344
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: