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OSWALDO ENRIQUE AVENDANO BOLIVAR DO
NPI 1063351062
Student in an Organized Health Care Education/Training Program in Seattle, WA

Active since March 25, 2026PECOS Enrolled
331 NE THORNTON PL, SEATTLE, WA 98125(206) 520-2405(206) 520-2450 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Oswaldo Enrique Avendano Bolivar Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OSWALDO ENRIQUE AVENDANO BOLIVAR DO (NPI 1063351062) is an individual student in an organized health care education/training program in Seattle, Washington and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063351062
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameOSWALDO ENRIQUE AVENDANO BOLIVARCredential: DO
Location Address331 NE THORNTON PLSeattle, WA 98125-8021
Mailing Address331 Ne Thornton PlSeattle, WA 98125-8021 · (206) 520-2405
Phone(206) 520-2405
Fax(206) 520-2450
Sole ProprietorNo
Enumeration DateMarch 25, 2026
NPPES CertifiedMarch 25, 2026
✔ NPI 1063351062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
331 NE THORNTON PL, Seattle, WA 98125
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oswaldo Enrique Avendano Bolivar Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SONIA ABRAHAM DO
Student in an Organized Health Care Education/Training Program
331 NE THORNTON PL
SEATTLE, WA 98125
King County (206) 520-2405
HEAMI YI MD
Student in an Organized Health Care Education/Training Program
331 NE THORNTON PL
SEATTLE, WA 98125
King County (206) 520-2405
MEGAN KATHLEEN KERSTEIN MD
Student in an Organized Health Care Education/Training Program
331 NE THORNTON PL
SEATTLE, WA 98125
King County (206) 520-2405
EMILY JOAN SMITH
Student in an Organized Health Care Education/Training Program
331 NE THORNTON PL
SEATTLE, WA 98125
King County (206) 520-2405
REBECCA REGAN MD
Student in an Organized Health Care Education/Training Program
331 NE THORNTON PL
SEATTLE, WA 98125
King County (206) 520-2405
NATALIE ANN HONAN MD
Student in an Organized Health Care Education/Training Program
331 NE THORNTON PL
SEATTLE, WA 98125
King County (206) 520-2405
MR. DOMINIC GEORGE TAPIA MD
Student in an Organized Health Care Education/Training Program
331 NE THORNTON PL
SEATTLE, WA 98125
King County (206) 520-2405
MADISON WEIGAND MD
Student in an Organized Health Care Education/Training Program
331 NE THORNTON PL
SEATTLE, WA 98125
King County (206) 520-2405

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oswaldo Avendano Bolivar's NPI number?

The NPI number for Oswaldo Avendano Bolivar is 1063351062. It was assigned to this individual provider in the NPPES registry on March 25, 2026.

Where is Oswaldo Avendano Bolivar located?

Oswaldo Avendano Bolivar practices at 331 NE Thornton Pl, Seattle, WA 98125. The listed phone number is (206) 520-2405.

What is Oswaldo Avendano Bolivar's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Oswaldo Avendano Bolivar enrolled in Medicare?

Yes. Oswaldo Avendano Bolivar is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Oswaldo Avendano Bolivar was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.