Healthcare Provider Details

I. General information

NPI: 1306068101
Provider Name (Legal Business Name): BARBARA JEAN SAWYER BARBARA SAWYER LMP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1906 SOUTH ORCAS STREET
SEATTLE WA
98108-2927
US

IV. Provider business mailing address

1906 SOUTH ORCAS STREET
SEATTLE WA
98108-2927
US

V. Phone/Fax

Practice location:
  • Phone: 206-669-0936
  • Fax:
Mailing address:
  • Phone: 206-669-0936
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMA00003506
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: