Provider Demographics
NPI:1205441870
Name:VOOGT, JOHANNES FRANCISCUS JR (INTERPRETER)
Entity type:Individual
Prefix:
First Name:JOHANNES
Middle Name:FRANCISCUS
Last Name:VOOGT
Suffix:JR
Gender:M
Credentials:INTERPRETER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12600 NE 145TH ST APT G59
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-1230
Mailing Address - Country:US
Mailing Address - Phone:425-508-5089
Mailing Address - Fax:
Practice Address - Street 1:12600 NE 145TH ST APT G59
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-1230
Practice Address - Country:US
Practice Address - Phone:425-508-5089
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-10
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA1972171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAMA1972OtherDSHS MEDICAL INTERPRETER