Provider Demographics
NPI:1154470276
Name:SAGGAU, DANENE M (DC, BCAO)
Entity type:Individual
Prefix:DR
First Name:DANENE
Middle Name:M
Last Name:SAGGAU
Suffix:
Gender:F
Credentials:DC, BCAO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12901 SE KENT KANGLEY RD
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98030-7939
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12901 SE KENT KANGLEY RD
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98030-7939
Practice Address - Country:US
Practice Address - Phone:253-630-1575
Practice Address - Fax:253-630-4650
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2015-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00002362111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAT86864Medicare UPIN
WA8852300Medicare ID - Type Unspecified