Provider Demographics
NPI:1205586476
Name:OLIVARES, BELLA (MA)
Entity type:Individual
Prefix:
First Name:BELLA
Middle Name:
Last Name:OLIVARES
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9775 NE 125TH PL
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-2769
Mailing Address - Country:US
Mailing Address - Phone:206-574-8038
Mailing Address - Fax:
Practice Address - Street 1:9775 NE 125TH PL
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-2769
Practice Address - Country:US
Practice Address - Phone:206-574-8038
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-28
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter