Provider Demographics
NPI:1043558638
Name:ARGENTO-BERRIO, ALEXANDRA GISELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:GISELLE
Last Name:ARGENTO-BERRIO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:ALEXANDRA
Other - Middle Name:GISELLE
Other - Last Name:DE LA ROSA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1340
Mailing Address - Street 2:
Mailing Address - City:OKANOGAN
Mailing Address - State:WA
Mailing Address - Zip Code:98840-1340
Mailing Address - Country:US
Mailing Address - Phone:509-865-2395
Mailing Address - Fax:509-865-0757
Practice Address - Street 1:1003 KOALA DR
Practice Address - Street 2:
Practice Address - City:OMAK
Practice Address - State:WA
Practice Address - Zip Code:98841-9247
Practice Address - Country:US
Practice Address - Phone:509-422-5700
Practice Address - Fax:855-204-8902
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-17
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
374J00000X
WAMD61192971207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No374J00000XNursing Service Related ProvidersDoula