Healthcare Provider Details

I. General information

NPI: 1649551037
Provider Name (Legal Business Name): SAGE MEDICAL GROUP, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2011
Last Update Date: 06/06/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12600 SE 38TH ST SUITE 130
BELLEVUE WA
98006-6105
US

IV. Provider business mailing address

12600 SE 38TH ST STE 130
BELLEVUE WA
98006-6105
US

V. Phone/Fax

Practice location:
  • Phone: 425-681-9310
  • Fax:
Mailing address:
  • Phone: 425-679-6056
  • Fax: 425-679-6632

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT 60113319
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberMD00015013
License Number StateWA

VIII. Authorized Official

Name: DR. SAGE CLINTON WHEELER
Title or Position: OWNER
Credential: ND
Phone: 425-679-6056