Provider Demographics
NPI:1518193879
Name:WHITE, SASHA NOEL (LMP)
Entity Type:Individual
Prefix:
First Name:SASHA
Middle Name:NOEL
Last Name:WHITE
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3706 E 52ND CT
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99223-8604
Mailing Address - Country:US
Mailing Address - Phone:509-443-1332
Mailing Address - Fax:
Practice Address - Street 1:3706 E 52ND CT
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99223-8604
Practice Address - Country:US
Practice Address - Phone:509-443-1332
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-01
Last Update Date:2009-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA 60086465174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist