Alturquan Pair
Individual provider Active NPI Driver · Bonney Lake, WA
NPI 1750177390 · NPPES record last updated Apr 18, 2025
Key facts
- NPI
- 1750177390
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- Practice address
- 20021 145TH St E
Bonney Lake, WA 98391-6181 - Phone
- (360) 209-3171
- NPI assigned
- Apr 18, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | Yes |
Addresses
Primary practice location
20021 145TH St E
Bonney Lake, WA 98391-6181
Mailing address
20021 145TH St E
Bonney Lake, WA 98391-6181
Other providers in Bonney Lake, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.