Healthcare Provider Details

I. General information

NPI: 1801877428
Provider Name (Legal Business Name): SARA K RAGSDALE DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2005
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1012 S 3RD ST
DAYTON WA
99328
US

IV. Provider business mailing address

1012 S 3RD ST
DAYTON WA
99328-1606
US

V. Phone/Fax

Practice location:
  • Phone: 509-382-8347
  • Fax: 509-382-3205
Mailing address:
  • Phone: 509-382-8347
  • Fax: 509-382-3205

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberOP00002311
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number0528424
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOP00002311
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: