Provider Demographics
NPI:1104430529
Name:MARTINEZ ORTEGA, CONSUELO JR (MEDICAL INTERPRETER)
Entity type:Individual
Prefix:
First Name:CONSUELO
Middle Name:
Last Name:MARTINEZ ORTEGA
Suffix:JR
Gender:F
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 1:1017 43RD CT NE
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98002-0008
Mailing Address - Country:US
Mailing Address - Phone:206-313-7938
Mailing Address - Fax:
Practice Address - Street 1:1017 43RD CT NE
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98002-0008
Practice Address - Country:US
Practice Address - Phone:206-313-7938
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-02
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC8397171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171R00000XOther Service ProvidersInterpreterGroup - Single Specialty