Individual
MARA CORINA BARRIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3915 TALBOT RD S STE 300, RENTON, WA 98055-5738
(425) 690-3409
(425) 690-9004
Mailing address
3600 LIND AVE SW, SUITE 100 ATTN CREDENTIALING, RENTON, WA 98057-4497
(425) 690-2715
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60922855
WA
363A00000X
Physician Assistant
PA9109276
FL
363A00000X
Physician Assistant
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2121659
—
WA
Enumeration date
02/16/2016
Last updated
08/17/2021
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