Provider Demographics
NPI:1942773718
Name:OROZCO, ALEXANDREA FAITH II (BS,)
Entity Type:Individual
Prefix:MS
First Name:ALEXANDREA
Middle Name:FAITH
Last Name:OROZCO
Suffix:II
Gender:F
Credentials:BS,
Other - Prefix:MS
Other - First Name:ALEXANDREA
Other - Middle Name:FAITH
Other - Last Name:OROZCO
Other - Suffix:I
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:419 N 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:PASCO
Mailing Address - State:WA
Mailing Address - Zip Code:99301-5312
Mailing Address - Country:US
Mailing Address - Phone:509-438-9732
Mailing Address - Fax:
Practice Address - Street 1:455 W ROSE ST
Practice Address - Street 2:
Practice Address - City:WALLA WALLA
Practice Address - State:WA
Practice Address - Zip Code:99362-1792
Practice Address - Country:US
Practice Address - Phone:509-524-2825
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-04
Last Update Date:2019-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical