Provider Demographics
NPI:1023288784
Name:CATES, SARA ALICE (LMP)
Entity type:Individual
Prefix:MS
First Name:SARA
Middle Name:ALICE
Last Name:CATES
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 1:12708 NE 144TH ST
Mailing Address - Street 2:#B302
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-4819
Mailing Address - Country:US
Mailing Address - Phone:425-445-0870
Mailing Address - Fax:
Practice Address - Street 1:12708 NE 144TH ST
Practice Address - Street 2:#B302
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-4819
Practice Address - Country:US
Practice Address - Phone:425-445-0870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-08
Last Update Date:2008-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00020034174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist