# RICHARD D STAHL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1760448294
- **Gender:** Man
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA10004944 | WA | Yes |
| 363A00000X | Physician Assistant | PA557 | TN | — |

## Other

- **Enumeration date:** 04/24/2006
- **Last updated:** 05/31/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0301978 | L&I | WA |
| 05 | — | 1760448294 | — | WA |
| 01 | — | P01141753 | RR MEDICARE | WA |