Provider Demographics
NPI:1780634345
Name:SAARI, PAMELYN J (ARNP)
Entity Type:Individual
Prefix:
First Name:PAMELYN
Middle Name:J
Last Name:SAARI
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3629 S D ST # MS 111198
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98418-6813
Mailing Address - Country:US
Mailing Address - Phone:253-649-1406
Mailing Address - Fax:253-798-2935
Practice Address - Street 1:325 9TH AVE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2420
Practice Address - Country:US
Practice Address - Phone:206-744-3076
Practice Address - Fax:206-744-2640
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARC00034502101Y00000X
WAAP30007211363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAAP30007211OtherARNP
WA0208553OtherL&I PIN
WA11599UOtherREGENCE BLUE SHIELD PIN
WA8929520OtherL&I CRIME VICTIMS
WA9648593Medicaid
Q69885Medicare UPIN