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SEAN RAE WHITE M.D. NPI 1720262421


NPI Information

NPI: 1720262421
Provider Name: SEAN RAE WHITE, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

CLIA Number: 50D2090635

Address:
501 W PIONEER AVE
MONTESANO, WA
ZIP 98563
Phone: (360) 637-8108
Get Directions

Sean Rae White, M.D. is a pediatrics in Montesano, WA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Sean Rae White, M.D. NPI is 1720262421. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

501 W PIONEER AVE
MONTESANO, WA
ZIP 98563-323
Phone: (360) 637-8108
Fax: (360) 637-8709

The NPI 1720262421 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 50D2090635 - other - clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/18/2007 and was last updated on 11/6/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics81719ARIZONANo
2208000000XPediatricsMD60082203WASHINGTONNo
3208000000XPediatrics60082203WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11689027328OTHERWASHINGTONGROUP NPI
21912130006OTHERWASHINGTONGROUP NPI
381719OTHERARIZONATRAINING PERMIT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.