Search › Washington › 225700000X
Ivan Pokazanyev
NPI 1699200444 · on the registry since 2017
Practice
- Address
- 1562 Ne 177th St Apt 105
Shoreline, WA 98155 - Phone
- (206) 306-5407
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-04-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington