Aryonna Bella Waters, LMP / LMT
Individual provider Active NPI Community Health Worker · Stevenson, WA
NPI 1235259383 · NPPES record last updated Apr 19, 2017
Key facts
- NPI
- 1235259383
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- License
- 15880 (OR)
- Practice address
- 100 NW 2ND St
Stevenson, WA 98648-4225 - Phone
- (509) 427-7797
- Fax
- (509) 427-7797
- NPI assigned
- Mar 30, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15880 | OR | MD | Community Health Worker |
| MA00023703 | WA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 15880 | OR | Yes |
| Massage Therapist | 225700000X | MA00023703 | WA |
Addresses
Primary practice location
100 NW 2ND St
Stevenson, WA 98648-4225
Mailing address
PO Box 591
Carson, WA 98610-0591
Phone (509) 427-7797
Other providers in Stevenson, WA
- Erin Kristine Swayze
- Julee Vanderdasson
- Susie A Veley
- Viriditas Naturopathic Medicine, PLLC
- Andrew Waters
- Robin Kate Bevin Wiesner
- WRP, LLC
- Crystal Mayola Wyrick
All providers in Stevenson, WA · Community Health Worker in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.