Provider Demographics
NPI:1558971010
Name:INCHAUSTE, RAQUEL GM (LANGUAGE PROVIDER)
Entity Type:Individual
Prefix:
First Name:RAQUEL
Middle Name:GM
Last Name:INCHAUSTE
Suffix:
Gender:F
Credentials:LANGUAGE PROVIDER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10450 SE 13TH ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-6850
Mailing Address - Country:US
Mailing Address - Phone:425-785-5760
Mailing Address - Fax:
Practice Address - Street 1:10450 SE 13TH ST
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-6850
Practice Address - Country:US
Practice Address - Phone:425-785-5760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-08
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC7958171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter
Provider Identifiers
StateIdentifier IDID TypeIssuer
WASC12083OtherDSHS
WA0216621OtherLNI
WAMC7958OtherDSHS