Provider Demographics
NPI:1740862275
Name:KHAPERMAN, IRINA (INTERPRETER)
Entity type:Individual
Prefix:
First Name:IRINA
Middle Name:
Last Name:KHAPERMAN
Suffix:
Gender:F
Credentials:INTERPRETER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18415 79TH PL W
Mailing Address - Street 2:
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98026-5848
Mailing Address - Country:US
Mailing Address - Phone:206-718-1243
Mailing Address - Fax:
Practice Address - Street 1:18415 79TH PL W
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98026-5848
Practice Address - Country:US
Practice Address - Phone:206-718-1243
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-23
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASC8183171R00000X
WAMC11080171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter