Provider Demographics
NPI:1578571428
Name:URRIOLA, ALINA MARIA (MD)
Entity Type:Individual
Prefix:DR
First Name:ALINA
Middle Name:MARIA
Last Name:URRIOLA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6007B 244TH ST SW
Mailing Address - Street 2:BALLINGER CLINIC
Mailing Address - City:MOUNTLAKE TERRACE
Mailing Address - State:WA
Mailing Address - Zip Code:98043
Mailing Address - Country:US
Mailing Address - Phone:425-640-4830
Mailing Address - Fax:425-640-4885
Practice Address - Street 1:6007B 244TH ST SW
Practice Address - Street 2:BALLINGER CLINIC
Practice Address - City:MOUNTLAKE TERRACE
Practice Address - State:WA
Practice Address - Zip Code:98043
Practice Address - Country:US
Practice Address - Phone:425-640-4830
Practice Address - Fax:425-640-4885
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00036026207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8230963Medicaid
F77796Medicare UPIN