Basic Information
Provider Information
NPI: 1326450776
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BROWN
FirstName: SARAH
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 814
Address2:  
City: ANACORTES
State: WA
PostalCode: 982210814
CountryCode: US
TelephoneNumber: 3603919041
FaxNumber: 2069873935
Practice Location
Address1: 4800 SAND POINT WAY NE # 11.500
Address2:  
City: SEATTLE
State: WA
PostalCode: 981053901
CountryCode: US
TelephoneNumber: 2069873996
FaxNumber: 2069873935
Other Information
ProviderEnumerationDate: 05/20/2014
LastUpdateDate: 07/29/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X60950445WAY Allopathic & Osteopathic PhysiciansAnesthesiology 

ID Information
IDTypeStateIssuerDescription
6095044501WAWASHINGTON STATE DEPT OF HEALTHOTHER


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