Provider Demographics
NPI:1730540576
Name:DUCKWORTH, SHERRY LYNN (INTERPRETER CERT)
Entity type:Individual
Prefix:
First Name:SHERRY
Middle Name:LYNN
Last Name:DUCKWORTH
Suffix:
Gender:F
Credentials:INTERPRETER CERT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12611 NE 99TH ST APT D20
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98682-2467
Mailing Address - Country:US
Mailing Address - Phone:360-553-6966
Mailing Address - Fax:
Practice Address - Street 1:12611 NE 99TH ST APT D20
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98682-2467
Practice Address - Country:US
Practice Address - Phone:360-553-6966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-07
Last Update Date:2016-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC7774171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter