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Individual

JANICE M SACK-ORY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
34709 9TH AVE S, STE B-500, FEDERAL WAY, WA 98003-6789
(253) 944-6950
(253) 661-8603
Mailing address
34709 9TH AVE S, STE B-500, FEDERAL WAY, WA 98003-6789
(253) 944-6950
(253) 661-8603

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP30000117
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0160003
STATE L&I
WA
01
0194359
STATE L&I
WA
01
160043862
MEDICARE RAILROAD
WA
01
8936934
STATE CRIME VICTIMS
WA
05
9634502
WA
Enumeration date
08/05/2006
Last updated
11/23/2010
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