Provider Demographics
NPI:1952414997
Name:SACHTER, ELAINE F (MD)
Entity Type:Individual
Prefix:
First Name:ELAINE
Middle Name:F
Last Name:SACHTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 9TH AVE
Mailing Address - Street 2:MS:M4-PA
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-2756
Mailing Address - Country:US
Mailing Address - Phone:206-515-5811
Mailing Address - Fax:206-515-5886
Practice Address - Street 1:1100 9TH AVE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-2756
Practice Address - Country:US
Practice Address - Phone:206-223-6600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2010-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00026321207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8890625OtherMEDICARE PTAN - KITSAP CO
WASA6661OtherBLUE SHIELD
WAUS0899778OtherAETNA/USHC PCP
100006240OtherRAILROAD MEDICARE
WA8120164Medicaid
WA0039592OtherLABOR & INDUSTRY
WAMD803WOtherALASKA MEDICAID
WAUS0899778OtherAETNA/USHC PCP
WA8890625OtherMEDICARE PTAN - KITSAP CO
WA8873999Medicare PIN