Healthcare Provider Details

I. General information

NPI: 1013826312
Provider Name (Legal Business Name): SANARE WOUND SPECIALISTS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

923 AARON DR UNIT 108
LYNDEN WA
98264-8534
US

IV. Provider business mailing address

923 AARON DR UNIT 108
LYNDEN WA
98264-8534
US

V. Phone/Fax

Practice location:
  • Phone: 360-656-4880
  • Fax: 360-656-4868
Mailing address:
  • Phone: 360-656-4880
  • Fax: 360-656-4868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOSE BENJAMIN FRANCISCO ZAMORA NAVA
Title or Position: CEO
Credential: ARNP
Phone: 360-961-8989