Provider Demographics
NPI:1124608799
Name:TUMBIC, RUSLAN
Entity type:Individual
Prefix:
First Name:RUSLAN
Middle Name:
Last Name:TUMBIC
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:804 55TH PL SW APT A
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98203-3080
Mailing Address - Country:US
Mailing Address - Phone:206-852-7643
Mailing Address - Fax:
Practice Address - Street 1:804 55TH PL SW APT A
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98203-3080
Practice Address - Country:US
Practice Address - Phone:206-852-7643
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-08
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171R00000XOther Service ProvidersInterpreterGroup - Single Specialty