Individual
RENATA SIBGATULLINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HAS
Contact information
Practice address
11390 SE 82ND AVE, STE. 801, HAPPY VALLEY, OR 97086-7637
(503) 653-5004
(503) 794-0531
Mailing address
PO BOX 350, MAPLE VALLEY, WA 98038-0350
(425) 358-0956
(877) 481-6931
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HAS-P-10139429
OR
237700000X
Hearing Instrument Specialist
HAS-T-10141214
OR
Other
Enumeration date
09/26/2011
Last updated
09/20/2016
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