Healthcare Provider Details

I. General information

NPI: 1871402628
Provider Name (Legal Business Name): TATIANA SARKHOSH PHD, MPH, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15303 WESTMINSTER WAY N
SHORELINE WA
98133-6126
US

IV. Provider business mailing address

15303 WESTMINSTER WAY N
SHORELINE WA
98133-6126
US

V. Phone/Fax

Practice location:
  • Phone: 206-364-4605
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN70057656
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: