Individual
SANDRA KASE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D., FAAA
Contact information
Practice address
1600 E JEFFERSON ST, SUITE 202, SEATTLE, WA 98122-5698
(206) 320-5687
(206) 320-8145
Mailing address
1600 E JEFFERSON ST, SUITE 202, SEATTLE, WA 98122-5698
(206) 320-5687
(206) 320-8145
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
LD00001067
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7082555
—
WA
Enumeration date
08/11/2006
Last updated
09/09/2021
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