Individual
MARA SAULITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
945 HILDEBRAND LN NE STE 100, BAINBRIDGE ISLAND, WA 98110-2887
(206) 991-2121
(206) 991-2151
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60386200
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN2453
—
MA
05
—
1134143209
—
WA
Enumeration date
07/26/2006
Last updated
10/09/2020
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