Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | ML60561425 | WA |
Y | 2080P0214X | Pediatric Pulmonologist | MD60845001 | WA |
NPI | 1649665951 |
---|---|
Provider Name | Sarah Hofman Deyoung |
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 | 02/04/2015 |
Last Update Date | 09/07/2019 |