Provider Demographics
NPI:1437298502
Name:ACOSTA SMITH, SARAH MARIE (ND)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:MARIE
Last Name:ACOSTA SMITH
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:MARIE
Other - Last Name:ACOSTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ND
Mailing Address - Street 1:PO BOX 655
Mailing Address - Street 2:
Mailing Address - City:METHOW
Mailing Address - State:WA
Mailing Address - Zip Code:98834-0655
Mailing Address - Country:US
Mailing Address - Phone:253-208-9280
Mailing Address - Fax:206-834-4131
Practice Address - Street 1:520 W. INDIAN AVE
Practice Address - Street 2:
Practice Address - City:BREWSTER
Practice Address - State:WA
Practice Address - Zip Code:98812
Practice Address - Country:US
Practice Address - Phone:206-834-4193
Practice Address - Fax:206-834-4131
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2020-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00001505175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath