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Yakov Yezhevsky
Specialist in Bothell, Washington
NPI 1255705166

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. You can also correspond with Yakov Yezhevsky through the mailing address at 9505 NE 180TH ST, BOTHELL, WA - 98011-3367 (mailing address contact number: 206-227-7546).

Location: 9505 Ne 180Th St, Bothell, WA, 98011-3367
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
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
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Provider's Legacy Identifiers
Identifier Type State Issuer
646584 01 WA EVERGREEN CARE NETWORK
institution
Provider Business Practice Location Address Details
Address
9505 Ne 180Th St
City
Bothell
State
Washington
Zip
98011-3367
Phone Number
206-227-7546
Fax Number
person
Provider Business Mailing Address Details
Address
9505 Ne 180Th St
City
Bothell
State
Washington
Zip
98011-3367
Phone Number
206-227-7546
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
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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