Healthcare Provider Details

I. General information

NPI: 1780772392
Provider Name (Legal Business Name): VALERIE LYNN SASSON LM,CPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13128 TOTEM LAKE BLVD NE STE 101
KIRKLAND WA
98034-2953
US

IV. Provider business mailing address

13128 TOTEM LAKE BLVD NE STE 101
KIRKLAND WA
98034-2953
US

V. Phone/Fax

Practice location:
  • Phone: 425-823-1919
  • Fax: 425-823-7037
Mailing address:
  • Phone: 425-823-1919
  • Fax: 425-823-7037

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberMW00000221
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: