Provider Demographics
NPI:1093075103
Name:SHOGREN, SARAH LOUISE (DPM)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:LOUISE
Last Name:SHOGREN
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:605 E HOLLAND AVE STE 112
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99218-1246
Mailing Address - Country:US
Mailing Address - Phone:509-342-3251
Mailing Address - Fax:509-342-3280
Practice Address - Street 1:605 E HOLLAND AVE STE 112
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218-1246
Practice Address - Country:US
Practice Address - Phone:509-342-3251
Practice Address - Fax:509-342-3280
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-22
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPL60162079213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery