Provider Demographics
NPI:1245937754
Name:SALAZAR, ROGER (MEDICAL INTERPRETER)
Entity type:Individual
Prefix:
First Name:ROGER
Middle Name:
Last Name:SALAZAR
Suffix:
Gender:M
Credentials:MEDICAL INTERPRETER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 11588
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98909-2430
Mailing Address - Country:US
Mailing Address - Phone:509-910-1009
Mailing Address - Fax:
Practice Address - Street 1:611 S 22ND AVE
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-4137
Practice Address - Country:US
Practice Address - Phone:509-910-1009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-14
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA3108171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter