Provider Demographics
NPI:1881875151
Name:SJOBERG, SANDRA (MD)
Entity type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:
Last Name:SJOBERG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3633 136TH PLACE SE
Mailing Address - Street 2:SUITE #110
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98006
Mailing Address - Country:US
Mailing Address - Phone:425-391-0705
Mailing Address - Fax:425-391-9562
Practice Address - Street 1:3633 136TH PLACE SE
Practice Address - Street 2:SUITE #110
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98006
Practice Address - Country:US
Practice Address - Phone:425-747-7202
Practice Address - Fax:425-643-0635
Is Sole Proprietor?:No
Enumeration Date:2007-11-15
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00043377208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8393647OtherDSHS