Basic Information
| Provider Information | |||||||||
| NPI: | 1447223110 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BARKER | ||||||||
| FirstName: | SHARON | ||||||||
| MiddleName: | I | ||||||||
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| Credential: | PA-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1624 S I ST | ||||||||
| Address2: | |||||||||
| City: | TACOMA | ||||||||
| State: | WA | ||||||||
| PostalCode: | 984055016 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2532744545 | ||||||||
| FaxNumber: | 2532747993 | ||||||||
| Practice Location | |||||||||
| Address1: | 2202 S CEDAR ST STE 330 | ||||||||
| Address2: | |||||||||
| City: | TACOMA | ||||||||
| State: | WA | ||||||||
| PostalCode: | 984052318 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2535032508 | ||||||||
| FaxNumber: | 2534040506 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/10/2006 | ||||||||
| LastUpdateDate: | 11/11/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/11/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363AM0700X | PA10004373 | WA | N | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Medical | 363A00000X | PA10004373 | WA | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
ID Information
| ID | Type | State | Issuer | Description | 0294333 | 01 | WA | L&I | OTHER | 8355786 | 05 | WA | MEDICAID | 0173947 | 01 | WA | STATE L&I | OTHER | 1010528 | 05 | WA | MEDICAID | 0245894 | 01 | L & I | OTHER | G8908871 | 01 | WA | MEDICARE | OTHER | P00773464 | 01 | WA | RAILROAD | OTHER | G8879295 | 01 | MEDICARE | OTHER |