Provider Demographics
NPI:1699381301
Name:VAN DER VEN, CARLA SALAZAR (INTERPRETER)
Entity Type:Individual
Prefix:MS
First Name:CARLA
Middle Name:SALAZAR
Last Name:VAN DER VEN
Suffix:
Gender:F
Credentials:INTERPRETER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7051 21ST AVE NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-5713
Mailing Address - Country:US
Mailing Address - Phone:206-743-7837
Mailing Address - Fax:
Practice Address - Street 1:7051 21ST AVE NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-5713
Practice Address - Country:US
Practice Address - Phone:206-743-7837
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-17
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC53606171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter