Individual
MR. ILYA VISHEVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDMS
Contact information
Practice address
1611 116TH AVE NE STE 207, BELLEVUE, WA 98004-3063
(425) 235-5984
(425) 226-6331
Mailing address
PO BOX 33879, SEATTLE, WA 98133-0879
(425) 235-5984
(425) 226-6331
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7072663
—
WA
Enumeration date
09/14/2005
Last updated
03/04/2008
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