Provider Demographics
NPI:1225001373
Name:HURLOW, SHARMAN K (MD)
Entity Type:Individual
Prefix:DR
First Name:SHARMAN
Middle Name:K
Last Name:HURLOW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SHARMAN
Other - Middle Name:K
Other - Last Name:TEW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:22180 OLYMPIC COLLEGE WAY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:POULSBO
Mailing Address - State:WA
Mailing Address - Zip Code:98370-0000
Mailing Address - Country:US
Mailing Address - Phone:360-779-4444
Mailing Address - Fax:360-697-2514
Practice Address - Street 1:22180 OLYMPIC COLLEGE WAY
Practice Address - Street 2:SUITE 102
Practice Address - City:POULSBO
Practice Address - State:WA
Practice Address - Zip Code:98370-0000
Practice Address - Country:US
Practice Address - Phone:360-779-4444
Practice Address - Fax:360-697-2514
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-09
Last Update Date:2011-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00043842207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA89393449Medicaid
WAG8805257Medicare PIN
WA89393449Medicaid
F76328Medicare UPIN