Healthcare Provider Details

I. General information

NPI: 1730540576
Provider Name (Legal Business Name): SHERRY LYNN DUCKWORTH INTERPRETER CERT.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/07/2016
Last Update Date: 03/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12611 NE 99TH ST APT D20
VANCOUVER WA
98682-2467
US

IV. Provider business mailing address

12611 NE 99TH ST APT D20
VANCOUVER WA
98682-2467
US

V. Phone/Fax

Practice location:
  • Phone: 360-553-6966
  • Fax:
Mailing address:
  • Phone: 360-553-6966
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171R00000X
TaxonomyInterpreter
License NumberMC7774
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: