MEDICARE: SUKCHA SONG SCHRECK INTERPRETER

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	171R00000X	Interpreter

General Provider Information

NPI Number	:	1982278420
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUKCHA SONG SCHRECK INTERPRETER

Provider Business Mailing Address
First Line	:	3827 80TH AVE W
Second Line	:
City	:	UNIVERSITY PLACE
State	:	WA
Zip	:	98466-3239
Country	:	US
Telephone Number	:	253-226-8385
Fax Number	:	253-460-2634

Provider Business Practice Location Address
First Line	:	3827 80TH AVE W
Second Line	:
City	:	UNIVERSITY PLACE
State	:	WA
Zip	:	98466-3239
Country	:	US
Telephone Number	:	253-226-8385
Fax Number	:	253-460-2634

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

Provider Enumeration Date	:	05/19/2021
Last Update Date	:	05/19/2021

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Directions to “ SUKCHA SONG SCHRECK INTERPRETER” Practice Location

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