Provider Demographics
NPI:1609675701
Name:HAKOBYAN, NAIRA
Entity type:Individual
Prefix:
First Name:NAIRA
Middle Name:
Last Name:HAKOBYAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5900 100TH ST SW STE 16
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98499-2749
Mailing Address - Country:US
Mailing Address - Phone:747-228-4129
Mailing Address - Fax:
Practice Address - Street 1:5900 100TH ST SW STE 16
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98499-2749
Practice Address - Country:US
Practice Address - Phone:747-228-4129
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health