Provider Demographics
NPI:1821254426
Name:POWELL, SARAH K (LMP)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:K
Last Name:POWELL
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 1:2810 W INDIANA ST
Mailing Address - Street 2:#1
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-1509
Mailing Address - Country:US
Mailing Address - Phone:360-224-1085
Mailing Address - Fax:
Practice Address - Street 1:2410 YEW ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98229-3940
Practice Address - Country:US
Practice Address - Phone:360-733-4222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-03
Last Update Date:2008-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00022132174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist