Provider Demographics
NPI:1497648869
Name:BARRAGAN MENDOZA, NATALIE DAYANARA
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:DAYANARA
Last Name:BARRAGAN MENDOZA
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 GREEN PL SW
Mailing Address - Street 2:
Mailing Address - City:MATTAWA
Mailing Address - State:WA
Mailing Address - Zip Code:99349-1968
Mailing Address - Country:US
Mailing Address - Phone:509-400-0616
Mailing Address - Fax:
Practice Address - Street 1:124 3RD AVE SW
Practice Address - Street 2:
Practice Address - City:EPHRATA
Practice Address - State:WA
Practice Address - Zip Code:98823-5100
Practice Address - Country:US
Practice Address - Phone:509-754-2012
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator