Provider Demographics
NPI:1871890517
Name:DR SARAH DEAM, DC PLLC
Entity type:Organization
Organization Name:DR SARAH DEAM, DC PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:DEAM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:206-547-2992
Mailing Address - Street 1:1818 WESTLAKE AVE N
Mailing Address - Street 2:SUITE 304
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-2777
Mailing Address - Country:US
Mailing Address - Phone:206-547-2992
Mailing Address - Fax:206-547-2995
Practice Address - Street 1:1818 WESTLAKE AVE N
Practice Address - Street 2:SUITE 304
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-2777
Practice Address - Country:US
Practice Address - Phone:206-547-2992
Practice Address - Fax:206-547-2995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-15
Last Update Date:2011-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034722111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty