Provider Demographics
NPI:1528667888
Name:HUBENYA, SVYATOSLAV (INTERPRITING COMPANY)
Entity type:Individual
Prefix:
First Name:SVYATOSLAV
Middle Name:
Last Name:HUBENYA
Suffix:
Gender:M
Credentials:INTERPRITING COMPANY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1961
Mailing Address - Street 2:
Mailing Address - City:TUALATIN
Mailing Address - State:OR
Mailing Address - Zip Code:97062-1961
Mailing Address - Country:US
Mailing Address - Phone:971-207-9379
Mailing Address - Fax:
Practice Address - Street 1:7112 NE SANDY BLVD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97213-5702
Practice Address - Country:US
Practice Address - Phone:971-207-9379
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-19
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR12343171R00000X
171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter