Healthcare Provider Details

I. General information

NPI: 1952914772
Provider Name (Legal Business Name): YELENA SHUROV RUSSIAN INTERPRETER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2020
Last Update Date: 08/31/2020
Certification Date: 08/31/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 SE ELLSWORTH RD APT S210
VANCOUVER WA
98664-6257
US

IV. Provider business mailing address

1221 SE ELLSWORTH RD APT S210
VANCOUVER WA
98664-6257
US

V. Phone/Fax

Practice location:
  • Phone: 360-356-5929
  • Fax:
Mailing address:
  • Phone: 360-356-5929
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171R00000X
TaxonomyInterpreter
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: