MEDICARE: CARLA CECILIA OVIEDO CARDENAS

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

General Provider Information

NPI Number	:	1790571859
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLA CECILIA OVIEDO CARDENAS

Provider Business Mailing Address
First Line	:	16609 E DESMET CT APT H104
Second Line	:
City	:	SPOKANE VALLEY
State	:	WA
Zip	:	99216-3565
Country	:	US
Telephone Number	:	830-325-5827
Fax Number	:

Provider Business Practice Location Address
First Line	:	16609 E DESMET CT APT H104
Second Line	:
City	:	SPOKANE VALLEY
State	:	WA
Zip	:	99216-3565
Country	:	US
Telephone Number	:	830-325-5827
Fax Number	:

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

Provider Enumeration Date	:	04/16/2025
Last Update Date	:	04/16/2025

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