Individual
SARA GUSSENHOVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
62 W 7TH AVE STE 110, SPOKANE, WA 99204-2321
(509) 456-0262
(509) 625-1868
Mailing address
62 W 7TH AVE STE 110, SPOKANE, WA 99204-2321
(603) 308-1472
(509) 625-1868
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA70007663
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
NH
Other
Enumeration date
01/25/2024
Last updated
09/30/2025
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