Provider Demographics
NPI:1063676351
Name:PERRY, SARAH HOPE (MD, MPH)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:HOPE
Last Name:PERRY
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:HOPE
Other - Last Name:BANNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2359 YALE AVE E
Mailing Address - Street 2:APT B
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-3309
Mailing Address - Country:US
Mailing Address - Phone:360-224-2362
Mailing Address - Fax:
Practice Address - Street 1:4800 SAND POINT WAY NE # G-0061
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-3901
Practice Address - Country:US
Practice Address - Phone:206-469-3506
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-15
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAML60019722208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics