Healthcare Provider Details

I. General information

NPI: 1033049697
Provider Name (Legal Business Name): HYPERM PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2950 NORTHUP WAY STE 204
BELLEVUE WA
98004-1483
US

IV. Provider business mailing address

2950 NORTHUP WAY STE 204
BELLEVUE WA
98004-1483
US

V. Phone/Fax

Practice location:
  • Phone: 425-504-4895
  • Fax:
Mailing address:
  • Phone: 425-504-4895
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0011X
TaxonomyUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. KONSTANTIN KUDINOV
Title or Position: MANAGER
Credential: PHD
Phone: 425-504-4895