Healthcare Provider Details

I. General information

NPI: 1518775394
Provider Name (Legal Business Name): ANDRII KUDRINSKYI INTERPRETER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/24/2024
Last Update Date: 12/24/2024
Certification Date: 12/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2050 112TH AVE NE STE 200
BELLEVUE WA
98004-2990
US

IV. Provider business mailing address

16255 NE 87TH ST APT 645
REDMOND WA
98052-7460
US

V. Phone/Fax

Practice location:
  • Phone: 321-381-0737
  • Fax:
Mailing address:
  • Phone: 321-381-0737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171R00000X
TaxonomyInterpreter
License Number13391
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: