Healthcare Provider Details

I. General information

NPI: 1225001373
Provider Name (Legal Business Name): SHARMAN K HURLOW MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SHARMAN K TEW MD

II. Dates (important events)

Enumeration Date: 02/09/2006
Last Update Date: 04/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22180 OLYMPIC COLLEGE WAY SUITE 102
POULSBO WA
98370-0000
US

IV. Provider business mailing address

22180 OLYMPIC COLLEGE WAY SUITE 102
POULSBO WA
98370-0000
US

V. Phone/Fax

Practice location:
  • Phone: 360-779-4444
  • Fax: 360-697-2514
Mailing address:
  • Phone: 360-779-4444
  • Fax: 360-697-2514

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD00043842
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: