Individual
IRENE MATVIYCHUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4629 BELLVIEW ST W, UNIVERSITY PLACE, WA 98466-1013
(253) 222-0769
Mailing address
4629 BELLVIEW ST W, UNIVERSITY PLACE, WA 98466-1013
(253) 222-0769
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
602717472
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0238448
INTERPRETER PROVIDER NUMBER
WA
Enumeration date
04/24/2022
Last updated
04/24/2022
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