Provider Demographics
NPI:1417536301
Name:BARON, JODI RACHELLE (DSHS MEDICAL INTERPR)
Entity type:Individual
Prefix:
First Name:JODI
Middle Name:RACHELLE
Last Name:BARON
Suffix:
Gender:F
Credentials:DSHS MEDICAL INTERPR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 W 2ND ST
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:WA
Mailing Address - Zip Code:98520-3912
Mailing Address - Country:US
Mailing Address - Phone:360-593-8672
Mailing Address - Fax:
Practice Address - Street 1:202 W 2ND ST
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:WA
Practice Address - Zip Code:98520-3912
Practice Address - Country:US
Practice Address - Phone:360-593-8672
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-07
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0402642OtherLABOR AND INDUSTRIES PROVIDER NUMBER
WAMC-13272OtherDSHS MEDICAL INTERPRETER