Provider Demographics
NPI:1447009295
Name:VIANA, HEYK
Entity type:Individual
Prefix:
First Name:HEYK
Middle Name:
Last Name:VIANA
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 1:5323 RACCA DR SE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98513-4626
Mailing Address - Country:US
Mailing Address - Phone:206-659-2970
Mailing Address - Fax:
Practice Address - Street 1:5323 RACCA DR SE
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98513-4626
Practice Address - Country:US
Practice Address - Phone:206-659-2970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-15
Last Update Date:2024-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program