Provider Demographics
NPI:1164020426
Name:CHEEVER, SARAH MCCARTHY (CPO, LPO)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:MCCARTHY
Last Name:CHEEVER
Suffix:
Gender:F
Credentials:CPO, LPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 44TH ST SE
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98203-2200
Mailing Address - Country:US
Mailing Address - Phone:425-339-2559
Mailing Address - Fax:
Practice Address - Street 1:1300 44TH ST SE
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98203-2200
Practice Address - Country:US
Practice Address - Phone:425-339-2559
Practice Address - Fax:425-329-3024
Is Sole Proprietor?:No
Enumeration Date:2020-10-09
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPS61063626224P00000X
WAOI61069107222Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist