Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | MD60067482 | WA |
N | 207R00000X | Internist | MD60067482 | WA |
N | 111NI0900X | Internist | MD60067482 | WA |
NPI | 1245409531 |
---|---|
Provider Name | Dr. Sally Ann Newbrough |
First Address | Seattle, WA 98115-8448 |
Second Address | Vancouver, WA 98683-9324 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2008 |
Last Update Date | 01/05/2014 |