Provider Demographics
NPI:1609048362
Name:SARAH L. BLUM ARNP
Entity Type:Organization
Organization Name:SARAH L. BLUM ARNP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:LEAH
Authorized Official - Last Name:BLUM
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:253-939-8796
Mailing Address - Street 1:303 O ST NE
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98002-4645
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:253-735-4445
Practice Address - Street 1:303 O ST NE
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98002-4645
Practice Address - Country:US
Practice Address - Phone:253-939-8796
Practice Address - Fax:253-735-4445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-02
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health