Provider Demographics
NPI:1649533373
Name:EVERGREENINTERPRETING.COM
Entity type:Organization
Organization Name:EVERGREENINTERPRETING.COM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:IVAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GUIRADO
Authorized Official - Suffix:
Authorized Official - Credentials:INTERPRETER
Authorized Official - Phone:360-954-5114
Mailing Address - Street 1:2220 NW UTAH CT
Mailing Address - Street 2:
Mailing Address - City:CAMAS
Mailing Address - State:WA
Mailing Address - Zip Code:98607-7413
Mailing Address - Country:US
Mailing Address - Phone:360-954-5114
Mailing Address - Fax:
Practice Address - Street 1:2220 NW UTAH CT
Practice Address - Street 2:
Practice Address - City:CAMAS
Practice Address - State:WA
Practice Address - Zip Code:98607-7413
Practice Address - Country:US
Practice Address - Phone:360-954-5114
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-18
Last Update Date:2012-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA962649251X00000X, 171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171R00000XOther Service ProvidersInterpreterGroup - Multi-Specialty
No251X00000XAgenciesSupports BrokerageGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA243067OtherWA LN&I