Healthcare Provider Details

I. General information

NPI: 1780634345
Provider Name (Legal Business Name): PAMELYN J. SAARI ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 11/15/2021
Certification Date: 11/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 9TH AVE
SEATTLE WA
98104-2420
US

IV. Provider business mailing address

3629 S D ST # MS 111198
TACOMA WA
98418-6813
US

V. Phone/Fax

Practice location:
  • Phone: 206-744-3076
  • Fax: 206-744-2640
Mailing address:
  • Phone: 253-649-1406
  • Fax: 253-798-2935

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP30007211
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP30007211
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberRC00034502
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: