Individual
DR. SARA S CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1600 E JEFFERSON ST STE A1, SEATTLE, WA 98122-5643
(206) 320-2200
(206) 320-2560
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY61196914
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2212898
—
WA
Enumeration date
04/16/2012
Last updated
12/01/2023
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