Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | PL60162079 | WA |
NPI | 1093075103 |
---|---|
Provider Name | Dr. Sarah Louise Shogren |
First Address | Federal Way, WA 98003-8726 |
Second Address | Federal Way, WA 98003-8726 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2012 |
Last Update Date | 08/10/2013 |