Provider Demographics
NPI:1760219836
Name:AL-TAMIMI, SANA (AUD)
Entity type:Individual
Prefix:DR
First Name:SANA
Middle Name:
Last Name:AL-TAMIMI
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:SANA
Other - Middle Name:
Other - Last Name:ALTAMIMI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2930 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-3832
Mailing Address - Country:US
Mailing Address - Phone:425-261-1500
Mailing Address - Fax:877-516-1074
Practice Address - Street 1:222 NE PARK PLAZA DR STE 104
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98684-5896
Practice Address - Country:US
Practice Address - Phone:425-435-0852
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-13
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALD61600208231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist