Individual
TARA L SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
20A16447
CA
2084N0400X
Neurology Physician
Primary
OP61067307
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902217235
—
WA
Enumeration date
05/08/2014
Last updated
06/03/2020
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