Healthcare Provider Details

I. General information

NPI: 1992740732
Provider Name (Legal Business Name): SARAH J HANDLEY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2006
Last Update Date: 06/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1959 NE PACIFIC ST BOX 356320
SEATTLE WA
98195-6320
US

IV. Provider business mailing address

1959 NE PACIFIC ST BOX 356320
SEATTLE WA
98195-6320
US

V. Phone/Fax

Practice location:
  • Phone: 206-987-5863
  • Fax:
Mailing address:
  • Phone: 206-987-5863
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberMD 60114690
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: