MEDICARE: MR. JOSE ARREOLA

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	171R00000X	Interpreter	MC52829	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MC52829	OTHER	WA	SPANISH MEDICAL INTERPRETER

General Provider Information

NPI Number	:	1487261012
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOSE ARREOLA

Provider Business Mailing Address
First Line	:	6515 30TH AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98126-4218
Country	:	US
Telephone Number	:	206-914-6057
Fax Number	:

Provider Business Practice Location Address
First Line	:	6515 30TH AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98126-4218
Country	:	US
Telephone Number	:	206-914-6057
Fax Number	:

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

Provider Enumeration Date	:	09/28/2020
Last Update Date	:	09/28/2020

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