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General NPI Number Information
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NPI Number | 1558299511
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Entity Type | Individual
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Provider Name | JOSE MICHAEL MUNJOZ-FLORES
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Gender | Male
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Dates
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Enumeration Date | 05/11/2026
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Last Update Date | 05/11/2026
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Provider Practice Location Address
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Address Line | 601 W FRANKLIN ST
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City | SHELTON
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State | WA
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Zip | 98584-3518
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Country | US
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Telephone | 360-968-0111
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Fax |
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Provider Business Mailing Address
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Address Line | 20027 SAGEWOOD LN SW
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City | CENTRALIA
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State | WA
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Zip | 98531-8304
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Country | US
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Telephone | 360-968-0111
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | RN00133870
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License Number State | WA
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