Individual
STEPHEN R FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2690 NE KRESKY AVE, CHEHALIS, WA 98532-2412
(360) 330-9595
(360) 330-9530
Mailing address
2690 NE KRESKY AVE, CHEHALIS, WA 98532-2412
(360) 330-9595
(360) 330-9560
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10000445
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0131734
LABOR & INDUSTRIES PROV #
WA
05
—
1090776
—
WA
05
—
8341505
—
WA
01
—
F15902
REGENCE PROVIDER #
WA
Enumeration date
08/29/2006
Last updated
02/02/2021
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