Healthcare Provider Details

I. General information

NPI: 1306753322
Provider Name (Legal Business Name): PATRICIA ANSENSION SAAVEDRA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 S 2ND AVE
YAKIMA WA
98902-3417
US

IV. Provider business mailing address

530 S EMERALD RD
SUNNYSIDE WA
98944-9710
US

V. Phone/Fax

Practice location:
  • Phone: 509-575-2885
  • Fax:
Mailing address:
  • Phone: 509-515-9565
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License NumberWDL3633G223B
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: