Individual
DIEGO AVILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4545 CORDATA PKWY STE 2C, BELLINGHAM, WA 98226-7264
(360) 752-5165
(360) 752-5686
Mailing address
100 E 33RD ST STE 100, VANCOUVER, WA 98663-2776
(360) 514-7550
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD61425471
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2020
Last updated
06/08/2023
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