| Doctor Name: | FERNANDO IRIZARRY |
| NPI Number: | 1851456081 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | MD00044534 |
| Business Practice Address: | 700 Lilly Rd Ne Olympia, WA - 985065115 |
| Business Phone Number: | 3609237000 |
| Business Fax Number: | 3609237199 |
| Mailing Address: | Po Box 34584, SEATTLE |
| State: | WA |
| Postal Code: | 981241584 |
| Phone Number: | 5092417349 |
| Fax Number: | 5092417628 |
| NPI Enumeration Date: | 12/27/2006 |
| NPI Last Update Date: | 07/25/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD00044534 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |