Provider Demographics
NPI:1609624360
Name:KAGUARA, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:KAGUARA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 N MONROE ST STE 200
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-2148
Mailing Address - Country:US
Mailing Address - Phone:509-957-3527
Mailing Address - Fax:
Practice Address - Street 1:12908 E 2ND LN
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99216-2261
Practice Address - Country:US
Practice Address - Phone:509-844-8013
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-08
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist