Provider Demographics
NPI:1760013346
Name:AGUIRRE, ANDRES FEDERICO (MS)
Entity Type:Individual
Prefix:
First Name:ANDRES
Middle Name:FEDERICO
Last Name:AGUIRRE
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:776 WHITE HAWK LN SE
Mailing Address - Street 2:
Mailing Address - City:TUMWATER
Mailing Address - State:WA
Mailing Address - Zip Code:98501-4571
Mailing Address - Country:US
Mailing Address - Phone:360-525-7023
Mailing Address - Fax:
Practice Address - Street 1:776 WHITE HAWK LN SE
Practice Address - Street 2:
Practice Address - City:TUMWATER
Practice Address - State:WA
Practice Address - Zip Code:98501-4571
Practice Address - Country:US
Practice Address - Phone:360-525-7023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-31
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorGroup - Single Specialty