# STEPHEN R FISCHER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1083723746
- **Gender:** Man
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA10000445 | WA | Yes |

## Other

- **Enumeration date:** 08/29/2006
- **Last updated:** 02/02/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0131734 | LABOR & INDUSTRIES PROV \# | WA |
| 05 | — | 1090776 | — | WA |
| 05 | — | 8341505 | — | WA |
| 01 | — | F15902 | REGENCE PROVIDER \# | WA |