Provider Demographics
NPI:1972380624
Name:DOBSON, SASSRA PAULANN
Entity type:Individual
Prefix:
First Name:SASSRA
Middle Name:PAULANN
Last Name:DOBSON
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 1:4511 S GLENROSE RD
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99223-1348
Mailing Address - Country:US
Mailing Address - Phone:509-448-9047
Mailing Address - Fax:
Practice Address - Street 1:4511 S GLENROSE RD
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99223-1348
Practice Address - Country:US
Practice Address - Phone:509-448-9047
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-14
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator