Provider Demographics
NPI:1619335650
Name:GARCIA-OROPEZA, MARA
Entity Type:Individual
Prefix:
First Name:MARA
Middle Name:
Last Name:GARCIA-OROPEZA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MARA
Other - Middle Name:MICHELLE
Other - Last Name:OROPEZA-QUIROZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7606 142ND AVE NE
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-4118
Mailing Address - Country:US
Mailing Address - Phone:425-223-6160
Mailing Address - Fax:
Practice Address - Street 1:5436 232ND AVE SE
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98029-6220
Practice Address - Country:US
Practice Address - Phone:206-380-3009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-05
Last Update Date:2016-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst