Provider Demographics
NPI:1447044151
Name:SANCHEZ, ESTEPHANIE MARIE
Entity type:Individual
Prefix:
First Name:ESTEPHANIE
Middle Name:MARIE
Last Name:SANCHEZ
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7803 W DESCHUTES AVE APT R272
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-7785
Mailing Address - Country:US
Mailing Address - Phone:509-480-7819
Mailing Address - Fax:
Practice Address - Street 1:2715 SAINT ANDREWS LOOP STE D
Practice Address - Street 2:
Practice Address - City:PASCO
Practice Address - State:WA
Practice Address - Zip Code:99301-3386
Practice Address - Country:US
Practice Address - Phone:509-412-1051
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-07
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator