Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sacred Life LLC

Organization Registered Nurse · NPI 1962093641

Sacred Life LLC is a Registered Nurse in Vancouver, Washington. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11412 NE 50th Ave
Vancouver, WA 98686-4418
Phone: (360) 699-6411
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X

Record details

NPI number1962093641
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ivan Sobovoy — Owner · (360) 721-4303
NPI enumeratedJanuary 27, 2021
Last updated in NPPESJanuary 27, 2021
Certification dateJanuary 27, 2021
Mailing address11412 Ne 50th Ave, Vancouver, WA 98686-4418

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