Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TATYANA V BAKHTINOVA, PA
ActivePhysician Assistant · LAKE FOREST PARK, WA
Registration Details
- NPI Number
- 1710916846
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 1, 2006 (19.805362277014 yrs)
- Last Updated
- Nov 6, 2007
Practice Information
- Address
-
17191 BOTHELL WAY NELAKE FOREST PARK, WA, 981555534Browse WA providers · Browse ZIP 98155
- Phone
- 2063648272
- Primary Specialty
-
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.