Provider Demographics
NPI:1679188544
Name:ZAKS, SAM (INTERPRETER)
Entity Type:Individual
Prefix:
First Name:SAM
Middle Name:
Last Name:ZAKS
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 1:6316 45TH STREET CT W
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98466-5626
Mailing Address - Country:US
Mailing Address - Phone:253-312-5249
Mailing Address - Fax:
Practice Address - Street 1:6316 45TH STREET CT W
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98466-5626
Practice Address - Country:US
Practice Address - Phone:253-312-5249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-08
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC6023171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter