MEDICARE: HECTOR MADRID

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	CP00005179	WA

General Provider Information

NPI Number	:	1376974501
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HECTOR MADRID

Provider Business Mailing Address
First Line	:	PO BOX 34703
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98124-1703
Country	:	US
Telephone Number	:	206-764-3335
Fax Number	:	206-764-0489

Provider Business Practice Location Address
First Line	:	12812 101ST AVENUE CT E
Second Line	:
City	:	PUYALLUP
State	:	WA
Zip	:	98373-9101
Country	:	US
Telephone Number	:	253-864-4770
Fax Number	:	253-864-4771

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2013
Last Update Date	:	12/13/2013

Similar Medicare Providers

1114129566 — KLEIN CHIROPRACTIC CLINIC
Practice Location Address:

12812 101ST AVENUE CT E , SUITE 104
PUYALLUP, WA
98373-9101

Practice Phone: 253-841-4457
Practice Fax: 253-841-8526

1568800290 — DEBBI WARNER REED
Practice Location Address:

12812 101ST AVENUE CT E
PUYALLUP, WA
98373-9101

Practice Phone: 253-864-4770
Practice Fax: 253-864-4771

1780003616 — RUISDAEL VALLEJO PACHECO
Practice Location Address:

12812 101ST AVENUE CT E , SUITE 202
PUYALLUP, WA
98373-9101

Practice Phone: 253-864-4770
Practice Fax:

1578965182 — CHARLEEN FITZGERALD
Practice Location Address:

12812 101ST AVENUE CT E
PUYALLUP, WA
98373-9101

Practice Phone: 253-864-4770
Practice Fax: 253-864-4771

1629443080 — YONSIM JORDAN
Practice Location Address:

12812 101ST AVENUE CT E
PUYALLUP, WA
98373-9101

Practice Phone: 253-864-4770
Practice Fax:

1225493505 — JUDITH VELASQUEZ
Practice Location Address:

12812 101ST AVENUE CT E , SUITE 202
PUYALLUP, WA
98373-9101

Practice Phone: 253-864-4770
Practice Fax:

Directions to “ HECTOR MADRID ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.