Basic Information
| Provider Information | |||||||||
| NPI: | 1740348945 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CHRISMAN | ||||||||
| FirstName: | SARA | ||||||||
| MiddleName: | P | ||||||||
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| Credential: | MD | ||||||||
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| OtherLastName: | DOW | ||||||||
| OtherFirstName: | SARA | ||||||||
| OtherMiddleName: | P | ||||||||
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| OtherCredential: | MD | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 4800 SAND POINT WAY NE | ||||||||
| Address2: | DEPARTMENT OF ANESTHESIA AND PAIN MEDICINE | ||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981053901 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2064842133 | ||||||||
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| Practice Location | |||||||||
| Address1: | 4800 SAND POINT WAY NE | ||||||||
| Address2: | |||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 98105 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2069872000 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/04/2006 | ||||||||
| LastUpdateDate: | 05/29/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2080A0000X | MD000046573 | WA | Y | Allopathic & Osteopathic Physicians | Pediatrics | Adolescent Medicine | 208000000X | MD00046573 | WA | N | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.