Most Relevant Information
Provider Data
| NPI Number: | 1003388687 |
| Provider Name: | JOHNATHAN X RIOS AAC, CHW |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: | CG60915191 |
Most Important Dates
| Enumeration Date: | 12/20/2018 |
| Last Updated: | 12/20/2018 |
Provider Practice Location
216 JAMES ST
SEATTLE
WA
981045102
Practice Location Phone/Fax
| Phone: | 2064646454 |
| Fax: | 2066521236 |
Provider Mailing Location
216 JAMES ST
SEATTLE
WA
981045102
Provider Mailing Phone/Fax
| Phone: | 2064646454 |
| Fax: | 2066521236 |