Individual
HECTOR MADRID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12812 101ST AVENUE CT E, PUYALLUP, WA 98373-9101
(253) 864-4770
(253) 864-4771
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 764-3335
(206) 764-0489
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00005179
WA
Other
Enumeration date
12/13/2013
Last updated
12/13/2013
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