| Doctor Name: | DR. STEPHEN E. PLISKA |
| NPI Number: | 1174516082 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 12789 |
| Business Practice Address: | 7701 Ne Highway 99 Vancouver, WA - 986658834 |
| Business Phone Number: | 3605742900 |
| Business Fax Number: | |
| Mailing Address: | 4421 Ne St Johns Rd, VANCOUVER |
| State: | WA |
| Postal Code: | 986612573 |
| Phone Number: | 3606959922 |
| Fax Number: | 3606951310 |
| NPI Enumeration Date: | 08/25/2005 |
| NPI Last Update Date: | 03/29/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 03/27/2006 |
| NPI Reactivation Date: | 04/21/2006 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 12789 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |