MEDICARE: ANASTASIA PIGAREVA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1275241515
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANASTASIA PIGAREVA

Provider Business Mailing Address
First Line	:	516 SHATTUCK AVE S APT 102
Second Line	:
City	:	RENTON
State	:	WA
Zip	:	98057-2430
Country	:	US
Telephone Number	:	206-476-3790
Fax Number	:

Provider Business Practice Location Address
First Line	:	2002 65TH AVE W
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98466-6200
Country	:	US
Telephone Number	:	253-566-5559
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2022
Last Update Date	:	11/07/2022

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Directions to “ ANASTASIA PIGAREVA ” Practice Location

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