Provider Demographics
NPI:1679263982
Name:CAOAGDAN, MARIA CRISTINA C
Entity type:Individual
Prefix:
First Name:MARIA CRISTINA
Middle Name:C
Last Name:CAOAGDAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RANDOLPH CARTER CENTER- CATHOLIC COMMUNITY SERVICES
Mailing Address - Street 2:100 23RD AVE S
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98144
Mailing Address - Country:US
Mailing Address - Phone:206-956-9570
Mailing Address - Fax:
Practice Address - Street 1:2329 RAINIER AVE S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98144-5302
Practice Address - Country:US
Practice Address - Phone:206-600-7988
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-10
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator