Provider Demographics
NPI:1194309898
Name:VIVAS PALOMERA, ALAIN MICHEL
Entity type:Individual
Prefix:
First Name:ALAIN
Middle Name:MICHEL
Last Name:VIVAS PALOMERA
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 1:16618 48TH AVE W APT I202
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98037-8666
Mailing Address - Country:US
Mailing Address - Phone:425-377-4448
Mailing Address - Fax:
Practice Address - Street 1:16618 48TH AVE W APT I202
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98037-8666
Practice Address - Country:US
Practice Address - Phone:425-377-4448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-08
Last Update Date:2021-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter