Provider Demographics
NPI:1942977004
Name:MEDINA, CINTHYA ISABEL
Entity Type:Individual
Prefix:
First Name:CINTHYA
Middle Name:ISABEL
Last Name:MEDINA
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 1:7102 NE 157TH AVE
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98682-3853
Mailing Address - Country:US
Mailing Address - Phone:619-253-9470
Mailing Address - Fax:
Practice Address - Street 1:7102 NE 157TH AVE
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98682-3853
Practice Address - Country:US
Practice Address - Phone:619-253-9470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-26
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter