Provider Demographics
NPI:1922540830
Name:ATTAR, CYNTHIA (CHT)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:ATTAR
Suffix:
Gender:F
Credentials:CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28500 STATE ROUTE 24
Mailing Address - Street 2:
Mailing Address - City:SUNNYSIDE
Mailing Address - State:WA
Mailing Address - Zip Code:98944-9517
Mailing Address - Country:US
Mailing Address - Phone:509-438-0375
Mailing Address - Fax:
Practice Address - Street 1:750 SWIFT BLVD
Practice Address - Street 2:#20
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-3521
Practice Address - Country:US
Practice Address - Phone:509-438-0375
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-08
Last Update Date:2016-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAHP60064687174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist