Provider Demographics
NPI:1871107631
Name:BORGFORD, LUIS RUBEN (MEDICAL INTERPRETER)
Entity type:Individual
Prefix:
First Name:LUIS
Middle Name:RUBEN
Last Name:BORGFORD
Suffix:
Gender:M
Credentials:MEDICAL INTERPRETER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3520 S THISTLE ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-4338
Mailing Address - Country:US
Mailing Address - Phone:206-412-5983
Mailing Address - Fax:
Practice Address - Street 1:3520 S THISTLE ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98118-4338
Practice Address - Country:US
Practice Address - Phone:206-412-5983
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-31
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC10191171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter