Yakov Yezhevsky is a Specialist based in Bothell, WA. Yakov Yezhevsky practices in Bothell, WA. The NPI Number for Yakov Yezhevsky is 1255705166 and holds a License No. 60079835 (Washington).
The current practice location address for Yakov Yezhevsky is 9505 Ne 180Th St, Bothell, WA and can be reached out via phone at 206-227-7546.
Location: 9505 Ne 180Th St, Bothell, WA, 98011-3367
Provider Profile Details
NPI Number
1255705166
Provider Name
Yakov Yezhevsky
Credential
Provider Entity Type
Individual
Gender
Male
Address
9505 Ne 180Th St, Bothell, WA, 98011-3367
Phone Number
206-227-7546
Fax Number
Provider Enumeration Date
11/17/2015
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 646584 | 01 | WA | EVERGREEN CARE NETWORK |
Provider Business Practice Location Address Details
Address
9505 Ne 180Th St
City
State
Zip
98011-3367
Phone Number
206-227-7546
Fax Number
Provider Business Mailing Address Details
Address
9505 Ne 180Th St
City
State
Zip
98011-3367
Phone Number
206-227-7546
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
60079835 (Washington)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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