Individual
ELLEN K STEHOUWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
20730 BOND RD NE STE 104, POULSBO, WA 98370-9000
(360) 626-1166
Mailing address
463 TREMONT ST W, STE 200, PORT ORCHARD, WA 98366-0000
(360) 876-2434
(360) 876-2696
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP00001873
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171376
LABOR & INDUSTRIES
WA
01
—
7817436
AETNA
—
05
—
8359390
—
WA
01
—
8931448
CRIME VICTIMS COMP
WA
01
—
P00029282
RAILROAD MEDICARE
—
Enumeration date
06/16/2006
Last updated
03/07/2023
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