Provider Demographics
NPI:1700992591
Name:STANOS, SARAH LOUGHRAN (DO)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:LOUGHRAN
Last Name:STANOS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:751 NE BLAKELY DR
Mailing Address - Street 2:SUITE 5010
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98029-6201
Mailing Address - Country:US
Mailing Address - Phone:425-394-0700
Mailing Address - Fax:425-394-0701
Practice Address - Street 1:751 NE BLAKELY DR
Practice Address - Street 2:SUITE 5010
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98029-6201
Practice Address - Country:US
Practice Address - Phone:425-394-0700
Practice Address - Fax:425-394-0701
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2015-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60518777208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILI45170Medicare UPIN