Healthcare Provider Details

I. General information

NPI: 1770222523
Provider Name (Legal Business Name): GALINA SMOLNIAKOVA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/31/2022
Last Update Date: 05/31/2022
Certification Date: 05/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5401 PLEASURE POINT LN SE
BELLEVUE WA
98006-2637
US

IV. Provider business mailing address

1645 140 AVE NE STE A4#1048
BELLEVUE WA
98005
US

V. Phone/Fax

Practice location:
  • Phone: 206-683-8806
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171R00000X
TaxonomyInterpreter
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: