Healthcare Provider Details

I. General information

NPI: 1922437797
Provider Name (Legal Business Name): YENIFER BAYNES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/02/2013
Last Update Date: 11/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9456 18TH AVE SW
SEATTLE WA
98106-2716
US

IV. Provider business mailing address

9456 18TH AVE SW
SEATTLE WA
98106-2716
US

V. Phone/Fax

Practice location:
  • Phone: 206-255-5309
  • Fax:
Mailing address:
  • Phone: 206-255-5309
  • Fax: 206-255-5309

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171R00000X
TaxonomyInterpreter
License NumberMC5265
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code171R00000X
TaxonomyInterpreter
License NumberSC 6051
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code171R00000X
TaxonomyInterpreter
License NumberMA 2013
License Number StateWA
# 5
Primary TaxonomyN
Taxonomy Code171R00000X
TaxonomyInterpreter
License NumberSA 1330
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: