Provider Demographics
NPI:1255930848
Name:MIYAGI-HACK, SACHIKO (INTERPRETER)
Entity type:Individual
Prefix:MRS
First Name:SACHIKO
Middle Name:
Last Name:MIYAGI-HACK
Suffix:
Gender:F
Credentials:INTERPRETER
Other - Prefix:MRS
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:MIYAGI-HACK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:INTERPRETER
Mailing Address - Street 1:2813 45TH CT SE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98501-4815
Mailing Address - Country:US
Mailing Address - Phone:360-357-3360
Mailing Address - Fax:360-357-3360
Practice Address - Street 1:2813 45TH CT SE
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98501-4815
Practice Address - Country:US
Practice Address - Phone:360-357-3360
Practice Address - Fax:360-357-3360
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-23
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASA758171R00000X
WAMA1144171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter