Provider Demographics
NPI:1154637742
Name:ARGUELLES, JONATHAN (LMP)
Entity Type:Individual
Prefix:
First Name:JONATHAN
Middle Name:
Last Name:ARGUELLES
Suffix:
Gender:M
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:819 VIRGINIA ST
Mailing Address - Street 2:UNIT 1907
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-4421
Mailing Address - Country:US
Mailing Address - Phone:425-785-9192
Mailing Address - Fax:
Practice Address - Street 1:819 VIRGINIA ST
Practice Address - Street 2:UNIT 1907
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-4421
Practice Address - Country:US
Practice Address - Phone:425-785-9192
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-20
Last Update Date:2010-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60172743225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist