Provider Demographics
NPI:1558960096
Name:QUINTANA, FERNANDO (INTERPRETER)
Entity Type:Individual
Prefix:MR
First Name:FERNANDO
Middle Name:
Last Name:QUINTANA
Suffix:
Gender:M
Credentials:INTERPRETER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 MAY CREEK RD
Mailing Address - Street 2:
Mailing Address - City:GOLD BAR
Mailing Address - State:WA
Mailing Address - Zip Code:98251-4100
Mailing Address - Country:US
Mailing Address - Phone:425-931-7214
Mailing Address - Fax:
Practice Address - Street 1:16621 6TH AVE SE
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98012-6355
Practice Address - Country:US
Practice Address - Phone:425-931-7214
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-24
Last Update Date:2020-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC55657171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter