Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | ML60469289 | WA |
N | 2080P0216X | Pediatric Rheumatologist | 166975 | AK |
Y | 2080P0216X | Pediatric Rheumatologist | 60875688 | WA |
NPI | 1720405285 |
---|---|
Provider Name | Sarah Baxter |
First Address | Seattle, WA 98105-3901 |
Second Address | Seattle, WA 98105-3901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2014 |
Last Update Date | 08/04/2021 |