Provider Demographics
NPI:1922437797
Name:BAYNES, YENIFER
Entity Type:Individual
Prefix:
First Name:YENIFER
Middle Name:
Last Name:BAYNES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9456 18TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98106-2716
Mailing Address - Country:US
Mailing Address - Phone:206-255-5309
Mailing Address - Fax:206-255-5309
Practice Address - Street 1:9456 18TH AVE SW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98106-2716
Practice Address - Country:US
Practice Address - Phone:206-255-5309
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-02
Last Update Date:2014-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
WAMC5265171R00000X
WASC 6051171R00000X
WAMA 2013171R00000X
WASA 1330171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter
No171M00000XOther Service ProvidersCase Manager/Care Coordinator