MEDICARE: SIERRA BLANCA SANCHEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	LF 60187773	WA

General Provider Information

NPI Number	:	1790817930
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIERRA BLANCA SANCHEZ

Provider Business Mailing Address
First Line	:	1718 NW 56TH ST STE 204
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98107-5238
Country	:	US
Telephone Number	:	253-576-0070
Fax Number	:	425-640-9600

Provider Business Practice Location Address
First Line	:	1718 NW 56TH ST STE 204
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98107-5238
Country	:	US
Telephone Number	:	253-576-0070
Fax Number	:	425-640-9600

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/12/2007
Last Update Date	:	03/25/2013

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Directions to “ SIERRA BLANCA SANCHEZ ” Practice Location

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