Susan M Sanborn, PA-C
Physician Assistant in Enumclaw, WA. Individual provider (NPI-1).
NPI number1790790137
StatusActive
Last updated in NPPESNov 17, 2010
Details
- NPI
- 1790790137
- Entity type
- Individual (NPI-1)
- Name
- Susan M Sanborn
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 31, 2006
- Last updated
- Nov 17, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA10002391 | WA | Yes |
Practice location
3021 Griffin AveEnumclaw, WA 98022-2369
Phone 360-825-6511 · Fax 360-825-6536
Mailing address
3021 Griffin AveEnumclaw, WA 98022-2369
Phone 360-825-6511 · Fax 360-825-6536
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physician Assistant providers in Enumclaw, WA
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- Emily C Cunningham-Carter, PA-CNPI 1508460023
- Jennifer Marie Erickson, PA-CNPI 1194045682
- Anthony Carroll Jordan, PA-SNPI 1336548064
- Edwin C Lopez, PA-CNPI 1649363706
- Whitney Kristina Vayntrub, PA-CNPI 1639625288
- Kelcey WebsterNPI 1457185233
All 8 Physician Assistant providers in Enumclaw · All 466 providers in Enumclaw
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