Healthcare Provider Details

I. General information

NPI: 1790395788
Provider Name (Legal Business Name): CHRISTOPHER PEREZ MEDICAL INTERPRETER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2020
Last Update Date: 08/04/2020
Certification Date: 08/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12014 INTERLAAKEN DR SW APT 8
LAKEWOOD WA
98498-5455
US

IV. Provider business mailing address

12014 INTERLAAKEN DR SW APT 8
LAKEWOOD WA
98498-5455
US

V. Phone/Fax

Practice location:
  • Phone: 253-363-2550
  • Fax:
Mailing address:
  • Phone: 253-363-2550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171R00000X
TaxonomyInterpreter
License NumberMC55374
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: