Provider Demographics
NPI:1073550026
Name:WOODS, SHARON KAY (BC-HIS ACA)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:KAY
Last Name:WOODS
Suffix:
Gender:F
Credentials:BC-HIS ACA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4225 335TH PL SE
Mailing Address - Street 2:BOX 1315
Mailing Address - City:FALL CITY
Mailing Address - State:WA
Mailing Address - Zip Code:98024-5899
Mailing Address - Country:US
Mailing Address - Phone:425-358-0956
Mailing Address - Fax:
Practice Address - Street 1:17800 TALBOT RD S
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-5740
Practice Address - Country:US
Practice Address - Phone:425-277-5812
Practice Address - Fax:425-277-5812
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2010-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAHA00000398237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
602987100OtherFEDERAL ID
WA9056248Medicaid
WA0191898OtherLABOR AND INDUSTRY