Provider Demographics
NPI:1235716622
Name:HERRERO-PIERA, ELENA
Entity Type:Individual
Prefix:
First Name:ELENA
Middle Name:
Last Name:HERRERO-PIERA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27241 NE 53RD ST
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98053-8833
Mailing Address - Country:US
Mailing Address - Phone:425-628-8769
Mailing Address - Fax:
Practice Address - Street 1:27241 NE 53RD ST
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98053-8833
Practice Address - Country:US
Practice Address - Phone:425-628-8769
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-24
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1966Medicaid