Individual
MARTHA ISSAREN ORTIZ VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPC
Contact information
Practice address
4800 SAND POINT WAY NORTHEAST, SEATTLE, WA 98105
(206) 987-2164
Mailing address
727 55TH ST SW, UNIT A, EVERETT, WA 98203
(425) 328-6792
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
WA
Other
Enumeration date
03/16/2022
Last updated
03/16/2022
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