MEDICARE: VANESSA BEGAZO-ARAVENA PA-S

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	390200000X	Student in an Organized Health Care Education/Training Program		WA

General Provider Information

NPI Number	:	1538016696
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VANESSA BEGAZO-ARAVENA PA-S

Provider Business Mailing Address
First Line	:	3201 13TH ST SW UNIT B
Second Line	:
City	:	PUYALLUP
State	:	WA
Zip	:	98373-6028
Country	:	US
Telephone Number	:	253-533-1684
Fax Number	:

Provider Business Practice Location Address
First Line	:	1455 BATTERSBY AVE
Second Line	:
City	:	ENUMCLAW
State	:	WA
Zip	:	98022-3634
Country	:	US
Telephone Number	:	360-802-8800
Fax Number	:

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

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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