MEDICARE: PAMELA PEREZ QUEZADA-GRUPO NAC

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	029781	WA

General Provider Information

NPI Number	:	1508798323
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAMELA PEREZ QUEZADA-GRUPO NAC

Provider Business Mailing Address
First Line	:	615 RHODORA HEIGHTS RD
Second Line	:
City	:	LAKE STEVENS
State	:	WA
Zip	:	98258-9268
Country	:	US
Telephone Number	:	575-626-0775
Fax Number	:

Provider Business Practice Location Address
First Line	:	615 RHODORA HEIGHTS RD
Second Line	:
City	:	LAKE STEVENS
State	:	WA
Zip	:	98258-9268
Country	:	US
Telephone Number	:	575-626-0775
Fax Number	:

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

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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