Carlos I Avila
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Pasco, WA
NPI 1881287902 · NPPES record last updated Feb 19, 2021
Key facts
- NPI
- 1881287902
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1751 N 24TH Ave
Pasco, WA 99301-3333 - Phone
- (509) 420-0727
- NPI assigned
- Feb 19, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | WA | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | WA | Yes |
Addresses
Primary practice location
1751 N 24TH Ave
Pasco, WA 99301-3333
Mailing address
1751 N 24TH Ave
Pasco, WA 99301-3333
Phone (509) 420-0727
Other providers in Pasco, WA
- Angel Tysia Austin
- Michaela Austin
- Avalon Care Center-Pasco LLC
- Talia Ruby Avalos
- Konstantin Avetisyan
- Awakened Path Counseling PLLC
- Yoselyn Ayala
- Rachel A Ayers
- Back in Motion Physical Therapy. LLC
- Badger Mountain Fairview Afh LLC
All providers in Pasco, WA · Student in an Organized Health Care Education/Training Program in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2021. 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.