MEDICARE: TRINIDAD CAMILA VALENZUELA SEPULVEDA CMI-SPANISH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171R00000X	Interpreter	103161	WA

General Provider Information

NPI Number	:	1215517461
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRINIDAD CAMILA VALENZUELA SEPULVEDA CMI-SPANISH

Provider Business Mailing Address
First Line	:	4902 6TH AVE NW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98107-3537
Country	:	US
Telephone Number	:	312-874-9177
Fax Number	:

Provider Business Practice Location Address
First Line	:	4902 6TH AVE NW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98107-3537
Country	:	US
Telephone Number	:	312-874-9177
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/12/2021
Last Update Date	:	04/12/2021

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Directions to “ TRINIDAD CAMILA VALENZUELA SEPULVEDA CMI-SPANISH” Practice Location

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