MEDICARE: IGOR IVASHIN

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		WA

General Provider Information

NPI Number	:	1831990266
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IGOR IVASHIN

Provider Business Mailing Address
First Line	:	6224 SPRING ST # A
Second Line	:
City	:	EVERETT
State	:	WA
Zip	:	98203-3844
Country	:	US
Telephone Number	:	425-470-1072
Fax Number	:

Provider Business Practice Location Address
First Line	:	6224 SPRING ST # A
Second Line	:
City	:	EVERETT
State	:	WA
Zip	:	98203-3844
Country	:	US
Telephone Number	:	425-470-1072
Fax Number	:

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

Provider Enumeration Date	:	03/21/2025
Last Update Date	:	03/21/2025

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Directions to “ IGOR IVASHIN ” Practice Location

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