Provider Demographics
NPI:1174343768
Name:SAGER, CHARITY
Entity type:Individual
Prefix:
First Name:CHARITY
Middle Name:
Last Name:SAGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 CRESTVIEW DR
Mailing Address - Street 2:
Mailing Address - City:COLVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:99114-3406
Mailing Address - Country:US
Mailing Address - Phone:509-690-2952
Mailing Address - Fax:
Practice Address - Street 1:150 S ELM ST
Practice Address - Street 2:
Practice Address - City:COLVILLE
Practice Address - State:WA
Practice Address - Zip Code:99114-2834
Practice Address - Country:US
Practice Address - Phone:509-690-2952
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-16
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty