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NPI Code Detail

MEDICARE: VINCENT C SIRAGUSA

MEDICARE: VINCENT C SIRAGUSA
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
1172V00000XCommunity Health Worker
2104100000XSocial WorkerSC70005630WA

General Provider Information

NPI Number : 1902562044
Entity Type Code : Individual
Provider Name (Legal Business Name) : VINCENT C SIRAGUSA
Provider Business Mailing Address
First Line : 5455 ALMIRA DR NE
Second Line :
City : BREMERTON
State : WA
Zip : 98311-8330
Country : US
Telephone Number : 360-373-5031
Fax Number :
Provider Business Practice Location Address
First Line : 4815 N ASSEMBLY ST
Second Line :
City : SPOKANE
State : WA
Zip : 99205-6185
Country : US
Telephone Number : 509-434-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2021
Last Update Date : 12/08/2025

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Directions to “ VINCENT C SIRAGUSA ” Practice Location

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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.

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