Healthcare Provider Details

I. General information

NPI: 1740348945
Provider Name (Legal Business Name): SARA P CHRISMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARA P DOW MD

II. Dates (important events)

Enumeration Date: 12/04/2006
Last Update Date: 05/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 SAND POINT WAY NE
SEATTLE WA
98105
US

IV. Provider business mailing address

4800 SAND POINT WAY NE DEPARTMENT OF ANESTHESIA AND PAIN MEDICINE
SEATTLE WA
98105-3901
US

V. Phone/Fax

Practice location:
  • Phone: 206-987-2000
  • Fax:
Mailing address:
  • Phone: 206-484-2133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD00046573
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License NumberMD000046573
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: