Healthcare Provider Details

I. General information

NPI: 1558085811
Provider Name (Legal Business Name): SARAH NICHOLE GUFFEY PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2022
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 17TH AVE STE 540
SEATTLE WA
98122-4470
US

IV. Provider business mailing address

PO BOX 25608
SALT LAKE CITY UT
84125-0608
US

V. Phone/Fax

Practice location:
  • Phone: 206-386-2550
  • Fax:
Mailing address:
  • Phone: 206-320-4476
  • Fax: 206-320-4476

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA61518828
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: