Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | CO60866689 | WA |
Y | 207RA0401X | Internist - Addiction Medicine | ML61246551 | WA |
NPI | 1932517745 |
---|---|
Provider Name | Dr. Sadaf Amir |
First Address | Lakewood, WA 98499-4456 |
Second Address | Lakewood, WA 98499-4456 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2014 |
Last Update Date | 21/12/2021 |