Individual
MAKSYM BILAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2901 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98466-4614
(253) 534-7623
(253) 534-7610
Mailing address
2901 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98466-4614
(253) 534-7623
(253) 534-7610
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN61648998
WA
225700000X
Massage Therapist
MA60780327
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BILANM234R4
STATE ISSUED DRIVER'S LICENSE
WA
Enumeration date
03/29/2018
Last updated
08/04/2025
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