Provider Demographics
NPI:1518574714
Name:MARTINCIC, DUBRAVKA (DSHS MA4727, SA2595,)
Entity Type:Individual
Prefix:MS
First Name:DUBRAVKA
Middle Name:
Last Name:MARTINCIC
Suffix:
Gender:F
Credentials:DSHS MA4727, SA2595,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1033 W 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-3007
Mailing Address - Country:US
Mailing Address - Phone:509-863-2548
Mailing Address - Fax:509-339-7256
Practice Address - Street 1:1033 W 7TH AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-3007
Practice Address - Country:US
Practice Address - Phone:509-863-2548
Practice Address - Fax:509-339-7256
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-30
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter