Basic Information
| Provider Information | |||||||||
| NPI: | 1780634345 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SAARI | ||||||||
| FirstName: | PAMELYN | ||||||||
| MiddleName: | J. | ||||||||
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| Credential: | ARNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3629 S D ST # MS 111198 | ||||||||
| Address2: | |||||||||
| City: | TACOMA | ||||||||
| State: | WA | ||||||||
| PostalCode: | 984186813 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2536491406 | ||||||||
| FaxNumber: | 2537982935 | ||||||||
| Practice Location | |||||||||
| Address1: | 325 9TH AVE | ||||||||
| Address2: | |||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981042420 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2067443076 | ||||||||
| FaxNumber: | 2067442640 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/12/2006 | ||||||||
| LastUpdateDate: | 11/15/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/15/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101Y00000X | RC00034502 | WA | N | Behavioral Health & Social Service Providers | Counselor | 363LF0000X | AP30007211 | WA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | 363L00000X | AP30007211 | WA | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
ID Information
| ID | Type | State | Issuer | Description | AP30007211 | 01 | WA | ARNP | OTHER | 0208553 | 01 | WA | L&I PIN | OTHER | 11599U | 01 | WA | REGENCE BLUE SHIELD PIN | OTHER | 8929520 | 01 | WA | L&I CRIME VICTIMS | OTHER | 9648593 | 05 | WA | MEDICAID |