Yakov Yezhevsky
Specialist in Bothell, WA. Individual provider (NPI-1).
NPI number1255705166
StatusActive
Last updated in NPPESNov 17, 2015
Details
- NPI
- 1255705166
- Entity type
- Individual (NPI-1)
- Name
- Yakov Yezhevsky
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 17, 2015
- Last updated
- Nov 17, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 60079835 | WA | Yes |
Practice location
9505 Ne 180th StApt 201
Bothell, WA 98011-3367
Phone 206-227-7546
Mailing address
9505 Ne 180th StApt 201
Bothell, WA 98011-3367
Phone 206-227-7546
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All 19 Specialist providers in Bothell · All 2,083 providers in Bothell
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