Individual
STEPHANIE KLOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
907 GEORGIANA ST, PORT ANGELES, WA 98362-3911
(360) 565-0999
(360) 565-9251
Mailing address
PO BOX 850, PORT ANGELES, WA 98362-0146
(360) 565-0999
(360) 565-9251
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60922980
WA
363AM0700X
Medical Physician Assistant
PA60922980
WA
Other
Enumeration date
09/01/2017
Last updated
10/16/2025
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