Gordon, Sarah N
Gordon, Sarah N is an sole proprietor health care provider with primary practice located at 402 91St Ave Ne , Lake Stevens WA 98258-2530. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Gordon, Sarah N can be contacted via phone (425) 353-0455.Contact Information
Primary practice address
402 91St Ave Ne
Lake Stevens WA 98258-2530
Phone: (425) 353-0455
Fax: (425) 335-1894
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | OT61202000 | Washington |
Profile Details
| NPI number | 1114683554 |
|---|---|
| LBN Legal business name | Gordon, Sarah N |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 10th, 2021 |
| Last updated | Mar 22nd, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114683554 | NPPES |
| Washington | Other | OT61202000 | OT LICENSE |
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