Provider Demographics
NPI:1265813398
Name:YORK, SHARON K
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:K
Last Name:YORK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5306 NE 84TH LOOP
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98662-6098
Mailing Address - Country:US
Mailing Address - Phone:360-852-8744
Mailing Address - Fax:360-858-8744
Practice Address - Street 1:5306 NE 84TH LOOP
Practice Address - Street 2:
Practice Address - City:VANCOUVER,
Practice Address - State:WA
Practice Address - Zip Code:98662-6098
Practice Address - Country:US
Practice Address - Phone:360-852-8744
Practice Address - Fax:360-858-8744
Is Sole Proprietor?:No
Enumeration Date:2015-06-15
Last Update Date:2015-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00039106163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse