Healthcare Provider Details

I. General information

NPI: 1144719097
Provider Name (Legal Business Name): SARAH HAMPTON DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2018
Last Update Date: 11/02/2021
Certification Date: 11/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1322 3RD ST SE STE 240
PUYALLUP WA
98372-3771
US

IV. Provider business mailing address

1322 3RD ST SE STE 240
PUYALLUP WA
98372-3771
US

V. Phone/Fax

Practice location:
  • Phone: 253-697-1420
  • Fax: 253-697-1439
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOP61168336
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: