Provider Demographics
NPI:1861737124
Name:BARTHOLOMEW, SARAH SUN HEE (LMP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:SUN HEE
Last Name:BARTHOLOMEW
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23838 SE 152ND ST
Mailing Address - Street 2:
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98027-8460
Mailing Address - Country:US
Mailing Address - Phone:425-281-1388
Mailing Address - Fax:
Practice Address - Street 1:15230 NE 24TH ST STE 1-S
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-5540
Practice Address - Country:US
Practice Address - Phone:425-827-2225
Practice Address - Fax:425-283-4192
Is Sole Proprietor?:No
Enumeration Date:2012-11-27
Last Update Date:2012-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60319990174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist