Individual provider · Type 1 NPI
Yakov Yezhevsky
Specialist · Bothell, WA
NPI number
1255705166
Active
Practice location
9505 NE 180th St, Apt 201
Bothell, WA 98011-3367
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 60079835 (WA) |
Specialist: 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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About NPI 1255705166
Yakov Yezhevsky's National Provider Identifier is 1255705166, issued on Nov 17, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bothell, WA. The record was last updated on Nov 17, 2015.