Provider Demographics
NPI:1740159474
Name:BAHER, SORYA
Entity type:Individual
Prefix:
First Name:SORYA
Middle Name:
Last Name:BAHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20918 109TH PL SE APT 1908
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98031-1107
Mailing Address - Country:US
Mailing Address - Phone:206-532-8334
Mailing Address - Fax:
Practice Address - Street 1:20918 109TH PL SE APT 1908
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98031-1107
Practice Address - Country:US
Practice Address - Phone:206-532-8334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-31
Last Update Date:2025-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty