Provider Demographics
NPI:1528419413
Name:CASSIDY, SARAH FRANCES (ND)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:FRANCES
Last Name:CASSIDY
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:FRANCES
Other - Last Name:SADLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ND
Mailing Address - Street 1:PO BOX 1696
Mailing Address - Street 2:
Mailing Address - City:SULTAN
Mailing Address - State:WA
Mailing Address - Zip Code:98294-1696
Mailing Address - Country:US
Mailing Address - Phone:360-793-3883
Mailing Address - Fax:360-793-2921
Practice Address - Street 1:307 MAIN ST
Practice Address - Street 2:
Practice Address - City:SULTAN
Practice Address - State:WA
Practice Address - Zip Code:98294-0197
Practice Address - Country:US
Practice Address - Phone:360-793-3883
Practice Address - Fax:360-793-2921
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-22
Last Update Date:2023-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60655505175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA20161012330984Medicaid