Provider Demographics
NPI:1548874423
Name:ARJONA, RODRIGO (MC13885)
Entity type:Individual
Prefix:
First Name:RODRIGO
Middle Name:
Last Name:ARJONA
Suffix:
Gender:M
Credentials:MC13885
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 NW 7TH ST
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98057-3447
Mailing Address - Country:US
Mailing Address - Phone:206-883-5303
Mailing Address - Fax:
Practice Address - Street 1:317 NW 7TH ST
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-3447
Practice Address - Country:US
Practice Address - Phone:206-883-5303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-08
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171R00000XOther Service ProvidersInterpreterGroup - Single Specialty