Provider Demographics
NPI:1245063387
Name:CASTILLO, BYANKA KYANA
Entity type:Individual
Prefix:
First Name:BYANKA
Middle Name:KYANA
Last Name:CASTILLO
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 1:10926 NE 194TH DR
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-3006
Mailing Address - Country:US
Mailing Address - Phone:206-209-6185
Mailing Address - Fax:
Practice Address - Street 1:118 N 35TH ST STE 100
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-8654
Practice Address - Country:US
Practice Address - Phone:503-701-7342
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-23
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156F00000XEye and Vision Services ProvidersTechnician/Technologist