Provider Demographics
NPI:1114956943
Name:CUENE, SARA ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:ANN
Last Name:CUENE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:SARA
Other - Middle Name:ANN
Other - Last Name:CUENE-WATSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6715 LUNDE RD
Mailing Address - Street 2:
Mailing Address - City:EVERSON
Mailing Address - State:WA
Mailing Address - Zip Code:98247-9635
Mailing Address - Country:US
Mailing Address - Phone:360-398-2094
Mailing Address - Fax:
Practice Address - Street 1:WWU STUDENT HEALTH CENTER
Practice Address - Street 2:2001 BILL MCDONALD PARKWAY
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225
Practice Address - Country:US
Practice Address - Phone:360-650-3400
Practice Address - Fax:360-650-3883
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00012350390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program