Search › Washington › 224Z00000X
Jorge Medina, COTA
NPI 1518485804 · on the registry since 2017
Practice
- Address
- 2320 Borst Ave
Centralia, WA 98531 - Phone
- (360) 827-6383
- Organisation at this address
- Centralia School District #401
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-09-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington