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NPI Code Detail

MEDICARE: DAISY DIAZ

MEDICARE: DAISY DIAZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistMG61226332WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184188112
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAISY DIAZ
Provider Business Mailing Address
First Line : 2521 S DAWSON ST
Second Line :
City : SEATTLE
State : WA
Zip : 98108-2067
Country : US
Telephone Number : 206-519-4920
Fax Number :
Provider Business Practice Location Address
First Line : 6840 FORT DENT WAY STE 350
Second Line :
City : TUKWILA
State : WA
Zip : 98188-8512
Country : US
Telephone Number : 253-850-2500
Fax Number : 253-850-2530
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2019
Last Update Date : 04/16/2025

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Directions to “ DAISY DIAZ ” Practice Location

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