IndividualActive
Georgiy Bondarchuk, DIVE IDC
NPI 1376176594 · Independent Duty Corpsman · Everett, WA
Provider details
- NPI number
- 1376176594
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- DIVE IDC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
2000 W Marine View Dr Bldg 2202
Everett, WA 98207-5000
Phone: (425) 304-5504
Approximate (ZIP-level) locationGet directions
Mailing address
18151 68th Ave Ne Apt 317
Kenmore, WA 98028-2834
Registry dates
- Enumerated
- 2020-02-17
- Last updated
- 2026-05-26
- Certified
- 2026-05-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.