Provider Demographics
NPI:1548779895
Name:PROFESSIONAL ADMINISTRATIVE SERVICES
Entity Type:Organization
Organization Name:PROFESSIONAL ADMINISTRATIVE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LILIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:IBARRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-391-4393
Mailing Address - Street 1:PO BOX 1534
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98233-0619
Mailing Address - Country:US
Mailing Address - Phone:360-391-4393
Mailing Address - Fax:360-422-5299
Practice Address - Street 1:100 S CHERRY ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98233-1810
Practice Address - Country:US
Practice Address - Phone:360-391-4393
Practice Address - Fax:360-391-4393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-28
Last Update Date:2017-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA0363797171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171R00000XOther Service ProvidersInterpreterGroup - Single Specialty