Provider Demographics
NPI:1265907729
Name:SABINIANO, SOPHIA ISABELLE MARTINEZ (CG#60855606)
Entity type:Individual
Prefix:
First Name:SOPHIA ISABELLE
Middle Name:MARTINEZ
Last Name:SABINIANO
Suffix:
Gender:F
Credentials:CG#60855606
Other - Prefix:
Other - First Name:SOPHIA ISABELLE
Other - Middle Name:M
Other - Last Name:SABINIANO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PEER SPECIALIST
Mailing Address - Street 1:325 NINTH AVE. BOX 359735
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-2420
Mailing Address - Country:US
Mailing Address - Phone:206-604-0617
Mailing Address - Fax:206-933-7018
Practice Address - Street 1:HARBORVIEW MEDICAL CENTER
Practice Address - Street 2:325 NINTH AVE 359735
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2420
Practice Address - Country:US
Practice Address - Phone:206-604-0617
Practice Address - Fax:206-933-7018
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-10
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACG60855606175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist