1336179415 NPI number — MARIA ARGANOZA-PRIESS DO

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336179415 NPI number — MARIA ARGANOZA-PRIESS DO

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

ARGANOZA-PRIESS

Provider First Name:

MARIA

Provider Middle Name:

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:

DO

Provider Gender Code:

F

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

ARGANOZA

Provider Other First Name:

MARIA-TERESA

Provider Other Middle Name:

U

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

DO

Provider Other Last Name Type Code:

1

NPI Number:

1336179415

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

04/03/2025

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

955 POWELL AVE SW

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

RENTON

Provider Business Mailing Address State Name:

WA

Provider Business Mailing Address Postal Code:

98057-2908

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

425-277-1311

Provider Business Mailing Address Fax Number:

425-277-1566

Provider First Line Business Practice Location Address:

923 AUBURN WAY N

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

AUBURN

Provider Business Practice Location Address State Name:

WA

Provider Business Practice Location Address Postal Code:

98002-4117

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

253-351-3900

Provider Business Practice Location Address Fax Number:

253-804-3222

Provider Enumeration Date:

07/04/2006

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 207Q00000X , with the licence number:  DO1500 , registered in the state of NV ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 207Q00000X , with the licence number: OP61658955 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 01012775 . This is a "HEALTHPLUS OF MI" identifier . This identifiers is of the category "OTHER".
• Identifier: 080G310660 . This is a "BCBS OF MI INCLUDES TRADITIONAL, TRUST PPO, BPP, COMMUNITY BLUE AND MICHILD" identifier . This identifiers is of the category "OTHER".
• Identifier: 381908328 . This is a "HCAP" identifier . This identifiers is of the category "OTHER".
• Identifier: 381908328 . This is a "PRIORITY HEALTH" identifier . This identifiers is of the category "OTHER".
• Identifier: 381908328 . This is a "COFINITY/PPOM" identifier . This identifiers is of the category "OTHER".
• Identifier: 080G310660 . This is a "BLUE CARE NETWORK OF MI, BCN ADVANTAGE, POS, BPP" identifier . This identifiers is of the category "OTHER".
• Identifier: 381908328-418 . This is a "CARE SOURCE OF MI" identifier . This identifiers is of the category "OTHER".
• Identifier: 080G31066 . This is a "BCBSM" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
• Identifier: 381908328 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
• Identifier: 1336179415 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
• Identifier: 171902 . This is a "GREAT LAKES HEALTH PLAN" identifier . This identifiers is of the category "OTHER".