Provider Demographics
NPI:1972177004
Name:BETEV, ALEKSEY
Entity type:Individual
Prefix:
First Name:ALEKSEY
Middle Name:
Last Name:BETEV
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 1:12207 2ND AVENUE CT E
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98445-1633
Mailing Address - Country:US
Mailing Address - Phone:253-314-9334
Mailing Address - Fax:
Practice Address - Street 1:12207 2ND AVENUE CT E
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98445-1633
Practice Address - Country:US
Practice Address - Phone:253-314-9334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-13
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter