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Contact Information

TATYANA TIMOFEYEV
605 S COOLIDGE ST
MOSES LAKE, WA98837
 Phone: 509-765-0674
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for TATYANA TIMOFEYEV · (Female)

NPI # 1730662487
Status Active
Credentials
Entity Individual
Enumeration date 09/10/2018
Last updated 09/10/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • WA License # PA61003681
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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