Pares-Avila, Jose Agustin

Pares-Avila, Jose Agustin is an sole proprietor health care provider with primary practice located at 325 9Th Ave , Seattle WA 98104-2420. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Pares-Avila, Jose Agustin can be contacted via phone (206) 744-3074.

Contact Information

Primary practice address
325 9Th Ave Seattle WA 98104-2420
Phone: (206) 744-3074
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH00008874 Washington
Nursing Service Providers / Registered Nurse 163W00000X RN00161905 Washington
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP30007841 Washington
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP30007841 Washington

Profile Details

NPI number 1033384987
LBN Legal business name Pares-Avila, Jose Agustin
Credentials DNP, ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 22nd, 2008
Last updated Dec 13th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033384987 NPPES
Washington MEDICAID 1033384987

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