Provider Demographics
NPI:1790395788
Name:PEREZ, CHRISTOPHER (MEDICAL INTERPRETER)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:PEREZ
Suffix:
Gender:M
Credentials:MEDICAL INTERPRETER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12014 INTERLAAKEN DR SW APT 8
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98498-5455
Mailing Address - Country:US
Mailing Address - Phone:253-363-2550
Mailing Address - Fax:
Practice Address - Street 1:12014 INTERLAAKEN DR SW APT 8
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98498-5455
Practice Address - Country:US
Practice Address - Phone:253-363-2550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-04
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC55374171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171R00000XOther Service ProvidersInterpreterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0277990OtherLNI PROVIDER NUMBER