Individual
EMMA V. TORRES-BALTAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
606 SE ROAKE ST. / AVENUE, CASTLE ROCK MEDICAL CLINIC, CASTLE ROCK, WA 98611
(360) 274-4179
(360) 274-8970
Mailing address
PO BOX 10, CASTLE ROCK, WA 98611-0010
(360) 274-4179
(360) 274-8970
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00021191
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1219906
—
WA
Enumeration date
07/10/2006
Last updated
05/01/2013
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