Provider Demographics
NPI:1376737452
Name:GALLEGOS, SARI I (ND, LAC)
Entity Type:Individual
Prefix:
First Name:SARI
Middle Name:I
Last Name:GALLEGOS
Suffix:
Gender:F
Credentials:ND, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9730 3RD AVE NE STE 202
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-2023
Mailing Address - Country:US
Mailing Address - Phone:206-784-0230
Mailing Address - Fax:206-957-9008
Practice Address - Street 1:9730 3RD AVE NE STE 202
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115
Practice Address - Country:US
Practice Address - Phone:206-784-0230
Practice Address - Fax:206-957-9008
Is Sole Proprietor?:No
Enumeration Date:2007-08-30
Last Update Date:2018-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC251171100000X
WANT773175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0112968OtherL&I
AC251OtherLAC LICENCE
WAGA1186OtherREGENCE
WANT73OtherND LICENCE