Individual
JOHN R SASHKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11311 BRIDGEPORT WAY SW STE 200, LAKEWOOD, WA 98499-3051
(253) 985-6688
(253) 539-6025
Mailing address
11311 BRIDGEPORT WAY SW STE 200, LAKEWOOD, WA 98499-3051
(253) 985-6688
(253) 539-6025
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00033088
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0126505
STATE L&I
WA
01
—
0142155
STATE L&I
WA
05
—
1045158
—
WA
01
—
80138602
MEDICARE RAILROAD
WA
05
—
8194466
—
WA
01
—
8901653
STATE CRIME VICTIMS
WA
01
—
8926858
STATE CRIME VICTIMS
WA
01
—
P00196556
MEDICARE RAILROAD
WA
Enumeration date
08/11/2006
Last updated
12/09/2020
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