MEDICARE: DANIEL ARELLANO LOPEZ INTERPRETER

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	MC53854	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MC53854	OTHER	WA	MEDICAL INTERPRETER CERTIFICATION NUMBER

General Provider Information

NPI Number	:	1952985335
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL ARELLANO LOPEZ INTERPRETER

Provider Business Mailing Address
First Line	:	PO BOX 4469
Second Line	:
City	:	PASCO
State	:	WA
Zip	:	99302-4469
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6305 CHAPEL HILL BLVD APT D201
Second Line	:
City	:	PASCO
State	:	WA
Zip	:	99301-3496
Country	:	US
Telephone Number	:	509-405-5225
Fax Number	:

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

Provider Enumeration Date	:	05/11/2021
Last Update Date	:	05/11/2021

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