Individual
YURI MALAKHOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7104 190TH AVE SW, LONGBRANCH, WA 98351-8231
(208) 283-2619
Mailing address
7104 190TH AVE SW, LONGBRANCH, WA 98351-8231
(208) 283-2619
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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