Individual
SARA KATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
915 SHERIDAN ST, SUITE B103, PORT TOWNSEND, WA 98368-2931
(360) 379-8031
(360) 385-0418
Mailing address
915 SHERIDAN ST, SUITE B103, PORT TOWNSEND, WA 98368-2931
(360) 379-8031
(360) 385-0418
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004522
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011717
—
WA
01
—
8001798
MEDICARE RHC
WA
05
—
8380917
—
WA
Enumeration date
05/16/2006
Last updated
07/29/2024
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