Basic Information
| Provider Information | |||||||||
| NPI: | 1710282199 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | STERLING | ||||||||
| FirstName: | ROBIE | ||||||||
| MiddleName: | RENATO | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 50 SAGE CANYON RD | ||||||||
| Address2: | |||||||||
| City: | WINTHROP | ||||||||
| State: | WA | ||||||||
| PostalCode: | 988629149 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 1003 KOALA DR | ||||||||
| Address2: | |||||||||
| City: | OMAK | ||||||||
| State: | WA | ||||||||
| PostalCode: | 988419247 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2063202233 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/17/2011 | ||||||||
| LastUpdateDate: | 04/07/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/07/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | MD60570865 | WA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.