Provider Demographics
NPI:1154648012
Name:CHASE, SARAH (L/CPO)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:CHASE
Suffix:
Gender:F
Credentials:L/CPO
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:DUNTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:L/CPO
Mailing Address - Street 1:2801 COMMERCIAL AVE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:ANACORTES
Mailing Address - State:WA
Mailing Address - Zip Code:98221-2700
Mailing Address - Country:US
Mailing Address - Phone:425-587-0055
Mailing Address - Fax:360-587-0077
Practice Address - Street 1:2801 COMMERCIAL AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:ANACORTES
Practice Address - State:WA
Practice Address - Zip Code:98221-2700
Practice Address - Country:US
Practice Address - Phone:360-587-0055
Practice Address - Fax:360-587-0077
Is Sole Proprietor?:No
Enumeration Date:2010-04-30
Last Update Date:2015-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOI00000342222Z00000X
WAPS00000351224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1912386046OtherORGANIZATIONA NPI