Susan M Sanborn in Enumclaw - Physician Assistant
Susan M Sanborn - NPI 1790790137
Susan M Sanborn is a Physician Assistant in Enumclaw, Washington. Susan M Sanborn practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Susan M Sanborn is 1790790137. The last update date is 2010-11-17.
Susan M Sanborn's current location address is 3021 Griffin Ave, Enumclaw, Washington. You can contact this provider via phone number 3608256511 and fax number 3608256536. The mailing address for Susan M Sanborn is 3021 Griffin Ave, Enumclaw, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan M Sanborn |
|---|---|
| Address | 3021 Griffin Ave, Enumclaw, Washington |
| Phone Number | 3608256511 |
| Fax Number | 3608256536 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1790790137 |
|---|---|
| Provider Enumeration Date | 2006-07-31 |
| Last Updated Date | 2010-11-17 |
Provider Mailing Address Detail
| Address | 3021 Griffin Ave |
|---|---|
| City | Enumclaw |
| State | Washington (WA) |
| Post Code | 980222369 |
| Phone Number | 3608256511 |
| Fax Number | 3608256536 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA10002391 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 131056 | WA | STATE L&I | |
| 8370843 | WA | -- | |
| 8929994 | WA | STATE CRIME VICTIMS | |
| 97008681 | WA | MEDICARE RAILROAD |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Susan M Sanborn by the Centers for Medicare & Medicaid Services?
The Susan M Sanborn has been assigned the NPI (National Provider Identifier) 1790790137 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Susan M Sanborn is physically located?
The Susan M Sanborn is physically situated at the following address: 3021 Griffin Ave, Enumclaw, WA, 980222369.
What is the area of specialization for Susan M Sanborn, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Susan M Sanborn is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Susan M Sanborn receive the assignment of its 1790790137 from the Centers for Medicare & Medicaid Services?
The Susan M Sanborn was issued its 1790790137 by the Centers for Medicare & Medicaid Services on 2006-07-31.
When was the information regarding Susan M Sanborn most recently updated?
The details pertaining to the Susan M Sanborn, including its address, specialty, and other relevant information, were last refreshed on 2010-11-17.
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