Healthcare Provider Details

I. General information

NPI: 1346876364
Provider Name (Legal Business Name): HELINA POKHREL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2020
Last Update Date: 03/21/2020
Certification Date: 03/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14016 A ST S # 581-7020
TACOMA WA
98444-4662
US

IV. Provider business mailing address

9330 59TH AVE SW # 6205015
LAKEWOOD WA
98499-2858
US

V. Phone/Fax

Practice location:
  • Phone: 253-581-7020
  • Fax:
Mailing address:
  • Phone: 253-620-5015
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberRN60914233
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: