Provider Demographics
NPI:1922615798
Name:LEUNG-BASSHAM, MARILYN (DSHS INTERPRETER)
Entity Type:Individual
Prefix:
First Name:MARILYN
Middle Name:
Last Name:LEUNG-BASSHAM
Suffix:
Gender:F
Credentials:DSHS INTERPRETER
Other - Prefix:
Other - First Name:MARILYN
Other - Middle Name:
Other - Last Name:BASSHAM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DSHS INTERPRETER
Mailing Address - Street 1:1191 SW CAMPUS DR, #177
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98023
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:747 BROADWAY
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-4379
Practice Address - Country:US
Practice Address - Phone:253-363-9702
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-25
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC15995171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter