Healthcare Provider Details

I. General information

NPI: 1023622487
Provider Name (Legal Business Name): MAYRA VASQUEZ LANGUAGE INTERPRETER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2020
Last Update Date: 11/02/2020
Certification Date: 11/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19201 120TH AVE NE
BOTHELL WA
98011-9517
US

IV. Provider business mailing address

19201 120TH AVE NE
BOTHELL WA
98011-9517
US

V. Phone/Fax

Practice location:
  • Phone: 206-915-0252
  • Fax:
Mailing address:
  • Phone: 775-419-2184
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171R00000X
TaxonomyInterpreter
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: