Provider Demographics
NPI:1487695334
Name:BESHLIAN, SARAH DOERSCHUK (MD)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:DOERSCHUK
Last Name:BESHLIAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:HARRIS
Other - Last Name:DOERSCHUK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 50095
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98145-5095
Mailing Address - Country:US
Mailing Address - Phone:206-543-6420
Mailing Address - Fax:
Practice Address - Street 1:10330 MERIDIAN AVE N
Practice Address - Street 2:SUITE 270
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-9484
Practice Address - Country:US
Practice Address - Phone:206-368-6360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2014-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00025606207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0317444OtherL&I
WA0294634OtherL&I
WA1487695334Medicaid
WAF74573Medicare UPIN
WA0294634OtherL&I
WA0317444OtherL&I