Doctor Name: | ADAM M STEPHENSON |
NPI Number: | 1316231962 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | |
Business Practice Address: | 7203 129th Ave Se Ste 100 Newcastle, WA - 980561412 |
Business Phone Number: | 4256565406 |
Business Fax Number: | 4256565040 |
Mailing Address: | Po Box 34876, SEATTLE |
State: | WA |
Postal Code: | 981241876 |
Phone Number: | 4256565412 |
Fax Number: | 4256564096 |
NPI Enumeration Date: | 05/31/2011 |
NPI Last Update Date: | 07/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |